Active NPI
Michigan Center for Oral Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Woodhaven, MI
National Provider Identifier
1982937454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2901017976
- Legal business name
- MICHIGAN CENTER FOR ORAL SURGERY
- Practice address
- 22150 Allen Rd
Suite 1
Woodhaven, MI 48183-2271 - Phone
- (734) 675-1520
- Fax
- (734) 675-2118
- NPI assigned
- Sep 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dexter Kurt Flemming, DDS MS
- Title
- Owner
- Phone
- (734) 675-1520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901017976 | MI | Primary |
Addresses
Primary practice location
22150 Allen Rd
Suite 1
Woodhaven, MI 48183-2271
Mailing address
22150 Allen Rd
Suite 1
Woodhaven, MI 48183-2271
Phone (734) 675-1520
National Provider Directory
National Provider Directory- Tax ID family
- Dexter K Flemming DDS Ms PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Woodhaven, MI
- NPI 1710153713
Locations
22150 Allen Rd
Ste 1
Woodhaven, MI 48183
Phone (734) 363-8143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252972800000",
"number": "1982937454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22150 ALLEN RD",
"address_2": "SUITE 1",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "481832271",
"telephone_number": "734-675-1520",
"fax_number": "734-675-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22150 ALLEN RD",
"address_2": "SUITE 1",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "481832271",
"telephone_number": "734-675-1520",
"fax_number": "734-675-2118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN CENTER FOR ORAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A",
"authorized_official_last_name": "FLEMMING",
"authorized_official_first_name": "DEXTER",
"authorized_official_middle_name": "KURT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-675-1520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "2901017976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodhaven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.