Midwestern Oral Surgery Associates, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

N/A

Legal business name

MIDWESTERN ORAL SURGERY ASSOCIATES, PLLC

Practice address

5050 Schaefer Rd
Dearborn, MI 48126-3249

Phone

(313) 582-8150

Fax

(313) 582-6015

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Reider

Title

President Midwestern Clinical Ops.

Phone

(313) 582-8150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1992754022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-582-8150",
            "fax_number": "313-582-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-582-8150",
            "fax_number": "313-582-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN ORAL SURGERY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "REIDER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT MIDWESTERN CLINICAL OPS.",
        "authorized_official_telephone_number": "313-582-8150"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Physical Therapy Inc
• Midwest Surgery Center
• Midwest Wound Care Associates, PC
• Midwestdental of Dearborn
• Midwestern Dental of Dearborn
• Midwestern Orthodontic Associates
• Midwestern Periodontic Associates
• Midwesthealth Center PC
• Midwesthealthcenter
• Maria Carmel Miglio, DO

• Oral and Maxillofacial Surgery (Dentist) in Dearborn, MI
• Providers in Dearborn, 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 May 8, 2017; 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.