| Oakland Oral Surgery Associates | |
|
31646 Schoolcraft Rd Livonia MI 48150-1819 | |
| (734) 427-3366 | |
| (734) 427-0407 |
| Full Name | Oakland Oral Surgery Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 31646 Schoolcraft Rd, Livonia, Michigan |
| Authorized Official Name and Position | Jack F Moores (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 7344273366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Oral Surgery Associates 31646 Schoolcraft Rd Livonia MI 48150-1819 Ph: (734) 427-3366 | Oakland Oral Surgery Associates 31646 Schoolcraft Rd Livonia MI 48150-1819 Ph: (734) 427-3366 |
| NPI Number | 1710127188 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710127188 | NPI | - | NPPES |
| P13950001 | Other | MI | MEDICARE INDIVIDUAL PTAN |
| P13950004 | Other | MI | MEDICARE INDIVIDUAL PTAN |
| 0P13950 | Other | MI | MEDICARE GROUP PTAN |
| P13950003 | Other | MI | MEDICARE INDIVIDUAL PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | JM16423 (Michigan) | Primary |
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