Dearborn Oral & Maxillofacial Surgery Associates, P.C.

Primary specialty

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

License

4301069256 Issued in MI

Legal business name

DEARBORN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.C.

Practice address

2120 Monroe St
Dearborn, MI 48124-2923

Phone

(313) 562-5800

Fax

(313) 562-6418

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian H Cohen, D.D.S., M.D.

Title

President

Phone

(313) 562-5800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1972777514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242923",
            "telephone_number": "313-562-5800",
            "fax_number": "313-562-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242923",
            "telephone_number": "313-562-5800",
            "fax_number": "313-562-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-562-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MI",
            "license": "4301069256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Dearborn, MI
• Providers in Dearborn, 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 Apr 15, 2008; 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.