| Oral And Facial Surgeons Of Michigan, Pc | |
|
11525 Highland Rd Suite 23 Hartland MI 48353-2726 | |
| (810) 632-0303 | |
| (810) 632-7305 |
| Full Name | Oral And Facial Surgeons Of Michigan, Pc |
|---|---|
| Speciality | Dentist |
| Location | 11525 Highland Rd, Hartland, Michigan |
| Authorized Official Name and Position | Evelyn M Davis (BILLING DEPT./ACCOUNTS) |
| Authorized Official Contact | 8106320303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgeons Of Michigan, Pc 11525 Highland Rd Suite 23 Hartland MI 48353-2726 Ph: (810) 632-0303 | Oral And Facial Surgeons Of Michigan, Pc 11525 Highland Rd Suite 23 Hartland MI 48353-2726 Ph: (810) 632-0303 |
| NPI Number | 1275640369 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4082526132 |
|---|---|
| Medicare Enrollment ID | O20031105000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275640369 | NPI | - | NPPES |
| 190F37120 | Other | MI | BCBS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Michigan) | Primary |
| Provider Name | Thomas E Butts |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528172053 PECOS PAC ID: 1759293814 Enrollment ID: I20031118000374 |
| Provider Name | Richard M Benian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902866239 PECOS PAC ID: 5294647350 Enrollment ID: I20031119000119 |
| Provider Name | Bryan J Johnson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740384981 PECOS PAC ID: 2567376957 Enrollment ID: I20031119000161 |
| Provider Name | Marvin F Jabero |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1972711000 PECOS PAC ID: 2860687571 Enrollment ID: I20101108000979 |
| Provider Name | Matthew S Pinsky |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316167612 PECOS PAC ID: 1759540776 Enrollment ID: I20140428001973 |
| Provider Name | Roseanna P Noordhoek |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093913626 PECOS PAC ID: 7810165099 Enrollment ID: I20161101002773 |
| Provider Name | Sanjot S Lehal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386938132 PECOS PAC ID: 6204133358 Enrollment ID: I20190718003155 |
| Provider Name | Andrew T Meram |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518122845 PECOS PAC ID: 0345545513 Enrollment ID: I20220701001106 |
Matthew Ora Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11140 Highland Rd, Hartland, MI 48353 Phone: 810-632-5700 Fax: 810-632-9168 | |
Hartland Smilemakers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11499 Highland Rd, Hartland, MI 48353 Phone: 810-632-5566 Fax: 810-632-7556 | |
Hartland Smilemakers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11499 Highland Rd, Hartland, MI 48353 Phone: 810-632-5533 Fax: 810-632-7556 | |
Hartland Gentle Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11479 Highland Rd Ste A, Hartland, MI 48353 Phone: 810-632-5364 Fax: 810-632-9576 | |
Joseph D Cranston Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11526 Highland Rd, Hartland, MI 48353 Phone: 810-632-6770 | |
Hartland Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 Highland Rd, Hartland, MI 48353 Phone: 810-207-0383 |