| Birmingham Oral & Maxillofacial Surgery, Plc | |
|
555 S Old Woodward Ave Ste 777 Birmingham MI 48009 | |
| (248) 647-4700 | |
| (248) 647-4730 |
| Full Name | Birmingham Oral & Maxillofacial Surgery, Plc |
|---|---|
| Speciality | Dentist |
| Location | 555 S Old Woodward Ave Ste 777, Birmingham, Michigan |
| Authorized Official Name and Position | Beverly Mcnaughton (BILLER) |
| Authorized Official Contact | 4864747002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birmingham Oral & Maxillofacial Surgery, Plc 555 S Old Woodward Ave Ste 777 Birmingham MI 48009-6618 Ph: (248) 647-4700 | Birmingham Oral & Maxillofacial Surgery, Plc 555 S Old Woodward Ave Ste 777 Birmingham MI 48009 Ph: (248) 647-4700 |
| NPI Number | 1598255044 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 07/13/2018 |
| Medicare PECOS PAC ID | 6800143603 |
|---|---|
| Medicare Enrollment ID | O20180725002327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598255044 | NPI | - | NPPES |
| 2990516 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901012981 (Michigan) | Primary |
| Provider Name | Jonathon H Anderson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811979719 PECOS PAC ID: 3971408600 Enrollment ID: I20031217000946 |
Birmingham Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 E 14 Mile Rd, Birmingham, MI 48009 Phone: 248-645-2710 Fax: 248-645-5283 | |
Drs Vanker And Saad Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 837 Forest Ave., Birmingham, MI 48009 Phone: 248-646-3515 Fax: 248-646-1952 | |
Wdw Birmingham Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 S Old Woodward Ave Ste 106, Birmingham, MI 48009 Phone: 248-645-1060 Fax: 248-833-0126 | |
Birmingham Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 Chestnut St, Birmingham, MI 48009 Phone: 248-644-8520 | |
Lisa M. Motyl, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 Haynes St, Suite 285, Birmingham, MI 48009 Phone: 248-540-3494 | |
John M Sushko Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 N Old Woodward Ave, Suite 201, Birmingham, MI 48009 Phone: 248-644-5735 Fax: 248-644-6465 | |
Tyler,dumas,reyes Specialists In Orthodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2388 Cole St, Suite 103, Birmingham, MI 48009 Phone: 248-258-8283 Fax: 248-258-8285 |