Truform Surgery, PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

TRUFORM SURGERY, PLLC

Practice address

6255 Grand River Rd
Brighton, MI 48114-5323

Phone

(810) 522-4001

NPI assigned

Mar 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brittany Ky Eidson, DDSNPI 1619317039

Title

Owning Surgeon

Phone

(810) 522-4001

Specialties & licenses 1

Addresses

Other names 1

• TruForm Surgery Doing business as

Tax ID family

Truform Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Truform Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansing, MI
  • NPI 1912881632
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Ky Eidson, D.D.S., FACS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Brighton, MI
  • NPI 1619317039
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1861250235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145323",
            "telephone_number": "810-522-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 GRAND RIVER RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145323",
            "telephone_number": "810-522-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUFORM SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "EIDSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "KY",
        "authorized_official_title_or_position": "OWNING SURGEON",
        "authorized_official_telephone_number": "810-522-4001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruForm Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Katie Joy Tschetter
• TT Counseling Services LLC
• Thomas C Turkin, D.P.M.
• McKenzy F. Turley, NP
• Tracy Lynn Turpin-Mogelnicki, LMSW

• Oral & Maxillofacial Surgery (D.M.D.) in Brighton, MI
• Providers in Brighton, MI by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.