| Summit Oral & Maxillofacial Surgery Pc | |
|
29427 Ryan Rd Warren MI 48092-2203 | |
| (586) 755-9340 | |
| (586) 755-9341 |
| Full Name | Summit Oral & Maxillofacial Surgery Pc |
|---|---|
| Speciality | Dentist |
| Location | 29427 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Jane M Windisch (BILLING SPECIALIST) |
| Authorized Official Contact | 5867559340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Oral & Maxillofacial Surgery Pc 29425 Ryan Rd Warren MI 48092-2203 Ph: (586) 755-9340 | Summit Oral & Maxillofacial Surgery Pc 29427 Ryan Rd Warren MI 48092-2203 Ph: (586) 755-9340 |
| NPI Number | 1811066129 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 09/14/2009 |
| Medicare PECOS PAC ID | 5991772287 |
|---|---|
| Medicare Enrollment ID | O20040915000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811066129 | NPI | - | NPPES |
| 970E076800 | Other | MI | BC |
| 0E07680 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Michael B Kraemer |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1366480238 PECOS PAC ID: 8022049410 Enrollment ID: I20050825000444 |
| Provider Name | John M Hackenberger |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1790730406 PECOS PAC ID: 4486621786 Enrollment ID: I20070730000120 |
| Provider Name | Gregory J Thomas |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1912947227 PECOS PAC ID: 1850368150 Enrollment ID: I20070730000151 |
| Provider Name | Rosolino V Sclafani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1467663294 PECOS PAC ID: 2062647530 Enrollment ID: I20131109000282 |
| Provider Name | Shyam P Aravindaksha |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1902065014 PECOS PAC ID: 5597062760 Enrollment ID: I20171127000347 |
| Provider Name | Arshi Lehal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1720341886 PECOS PAC ID: 3870890056 Enrollment ID: I20190219000916 |
| Provider Name | Claude C Lerose |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1831536861 PECOS PAC ID: 3173820370 Enrollment ID: I20191219001199 |
| Provider Name | David S Coviak |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164829438 PECOS PAC ID: 4082911136 Enrollment ID: I20220801000436 |
Warren Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30205 Schoenherr Rd Ste E, Warren, MI 48088 Phone: 586-558-8200 | |
David M Kaminski Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11666 Martin Road, Warren, MI 48093 Phone: 586-754-6160 Fax: 586-286-4363 | |
Deluxe Dental Associates 9-warren Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29170 Hoover Rd, Warren, MI 48093 Phone: 810-820-7766 Fax: 810-243-0454 | |
Unique Smiles Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28315 Hoover Rd, Warren, MI 48093 Phone: 586-573-4042 Fax: 586-573-7544 | |
Special Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27201 Ryan Rd, Warren, MI 48092 Phone: 586-558-8004 | |
Michigan Head & Neck Institute Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 3665 E 11 Mile Rd, Warren, MI 48092 Phone: 586-573-0438 Fax: 586-573-0186 | |
Universal Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28478 Dequindre Rd, Warren, MI 48092 Phone: 586-574-2620 Fax: 586-574-3015 |