| Greater Michigan Oral Surgeons & Dental Implant Center | |
|
5417 Gateway Ctr Flint MI 48507-3980 | |
| (810) 424-0705 | |
| (810) 424-0750 |
| Full Name | Greater Michigan Oral Surgeons & Dental Implant Center |
|---|---|
| Speciality | Dentist |
| Location | 5417 Gateway Ctr, Flint, Michigan |
| Authorized Official Name and Position | Samantha A Kern (CREDENTIALING & BILLING) |
| Authorized Official Contact | 8104240705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Michigan Oral Surgeons & Dental Implant Center 5417 Gateway Centre Blvd. Flint MI 48507-3980 Ph: (810) 424-0705 | Greater Michigan Oral Surgeons & Dental Implant Center 5417 Gateway Ctr Flint MI 48507-3980 Ph: (810) 424-0705 |
| NPI Number | 1902993819 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 2567471980 |
|---|---|
| Medicare Enrollment ID | O20060413000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902993819 | NPI | - | NPPES |
| 2594587 | Medicaid | MI | |
| 9752562480 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4045904 | Medicaid | MI | |
| 975256759 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4417670 | Medicaid | MI | |
| 195256547 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Robert C John |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1598765604 PECOS PAC ID: 1557303765 Enrollment ID: I20050527000399 |
| Provider Name | Michael S Frey |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1811084726 PECOS PAC ID: 4183633506 Enrollment ID: I20060413000082 |
| Provider Name | Robert C Lesneski |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1568639433 PECOS PAC ID: 0648449058 Enrollment ID: I20111018000054 |
| Provider Name | Michael R Higginbotham |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1346505542 PECOS PAC ID: 0749400075 Enrollment ID: I20141008000980 |
| Provider Name | Christopher P Kittle |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437343829 PECOS PAC ID: 4789806423 Enrollment ID: I20170614002330 |
| Provider Name | Shyam P Aravindaksha |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1902065014 PECOS PAC ID: 5597062760 Enrollment ID: I20171127000347 |
| Provider Name | Sanjot S Lehal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386938132 PECOS PAC ID: 6204133358 Enrollment ID: I20190718003155 |
| Provider Name | Xena A.g. Alakailly |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356791180 PECOS PAC ID: 6507144482 Enrollment ID: I20230724001621 |
| Provider Name | Ahmad-reza Noroozi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1467609719 PECOS PAC ID: 0042655094 Enrollment ID: I20240229000706 |
| Provider Name | Joshua L Leal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1487829420 PECOS PAC ID: 3072908771 Enrollment ID: I20240229003667 |
Shahu Dentistry, Pllc Dba Excel Dental Depot Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3368 S Linden Rd, Flint, MI 48507 Phone: 989-387-9767 | |
Dale G. Andrews, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 Austins Pkwy, Suite 4, Flint, MI 48507 Phone: 810-235-8831 | |
Advance Dental Care, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3710 Davison Rd, Flint, MI 48506 Phone: 810-742-6600 Fax: 810-742-5075 | |
C Patrick Gray Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: G-3222 Beecher Rd, Flint, MI 48532 Phone: 810-732-0200 Fax: 810-732-4355 | |
Larry I. Kassel, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 S Linden Rd, Flint, MI 48532 Phone: 810-733-8202 Fax: 810-230-2523 | |
Oscar L Wright Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Flushing Rd Ste 6, Flint, MI 48504 Phone: 810-232-6070 | |
Dental Dreams, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 W Pierson Rd, Units B-d, Flint, MI 48504 Phone: 810-789-5880 |