Northville Oral &Facial Surgery Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D166720 Issued in MI

Legal business name

NORTHVILLE ORAL &FACIAL SURGERY CENTER

Practice address

430 N Center St
Northville, MI 48167-1224

Phone

(248) 344-4224

Fax

(248) 344-4883

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter Timothy Bliss, DMD

Title

President

Phone

(248) 344-4224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1861729261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N CENTER ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671224",
            "telephone_number": "248-344-4224",
            "fax_number": "248-344-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N CENTER ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671224",
            "telephone_number": "248-344-4224",
            "fax_number": "248-344-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVILLE ORAL &FACIAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-344-4224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "D166720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northville Family Foot Specialists PLLC
• Northville Family Medical Center PC
• Northville Hearing Aid Ctr
• Northville Manor LLC
• Northville Oral & Maxiollofacial Surgery PLC
• Northville Pain Specialists PLC
• Northville Pharmacy LLC
• Northville Physical Rehabilitation, P.C.
• Northville Vision Clinic PC
• Kim Nwagwu, IMH-E

• Oral and Maxillofacial Surgery (Dentist) in Northville, MI
• Providers in Northville, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.