Active NPI
Kyle A Eurick, DDS
- Oral and Maxillofacial Surgery (Dentist)
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2901021214
- Practice address
- PSC 808 Box 19
Fpo, AE 09618-0001 - Phone
- (081) 811-6000
- NPI assigned
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901021214 | MI | Primary |
Addresses
Primary practice location
PSC 808 Box 19
Fpo, AE 09618-0001
Mailing address
11525 Highland Rd Ste 11
Hartland, MI 48353-2726
Phone (810) 632-4545
Other practice location 1
11525 Highland Rd Ste 11
Hartland, MI 48353-2726
Phone (810) 632-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Michigan School of Dentistry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11525 Highland Rd
Suite 11
Hartland, MI 48353-2726
Phone (810) 632-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021214 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral and Facial Surgeons of Michigan, PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
5885 S Main St
Ste 4
Clarkston, MI 48346
Phone (248) 625-6252
11525 Highland Rd
Ste 11
Hartland, MI 48353
Phone (810) 632-4545
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Hartland, MI
- NPI 1275640369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1619381522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11525 HIGHLAND RD STE 11",
"city": "HARTLAND",
"state": "MI",
"postal_code": "483532726",
"telephone_number": "810-632-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "PSC 808 BOX 19",
"city": "FPO",
"state": "AE",
"postal_code": "096180001",
"telephone_number": "081-811-6000"
}
],
"practiceLocations": [
{
"address_1": "11525 Highland Rd Ste 11",
"address_purpose": "LOCATION",
"city": "Hartland",
"state": "MI",
"postal_code": "483532726",
"country_code": "US",
"telephone_number": "810-632-4545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EURICK",
"first_name": "KYLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "2901021214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.