Northville Oral & Maxiollofacial Surgery PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

17024 Issued in MI

Legal business name

NORTHVILLE ORAL & MAXIOLLOFACIAL SURGERY PLC

Practice address

430 N Center St
Northville, MI 48167-1224

Phone

(248) 344-4224

Fax

(248) 344-4883

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert C John, D.D.S., M. D.

Title

Surgeon

Phone

(248) 969-9500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1932540366",
    "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": "48167",
            "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 & MAXIOLLOFACIAL SURGERY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "248-969-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M. D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "17024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jul 15, 2013; 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.