Ahmad-reza Noroozi, DDS | |
306 N Gould St, Owosso, MI 48867-2417 | |
(989) 723-3882 | |
Not Available |
Full Name | Ahmad-reza Noroozi |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 306 N Gould St, Owosso, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467609719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901019937 (Michigan) | Primary |
Entity Name | Great Lakes Oral Surgery And Implants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902993819 PECOS PAC ID: 2567471980 Enrollment ID: O20060413000057 |
Mailing Address | Practice Location Address |
---|---|
Ahmad-reza Noroozi, DDS 5417 Gateway Ctr, Flint, MI 48507-3980 Ph: (810) 424-0705 | Ahmad-reza Noroozi, DDS 306 N Gould St, Owosso, MI 48867-2417 Ph: (989) 723-3882 |
Dr. Terrence Wayne Ryckman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 N Park St, Owosso, MI 48867 Phone: 989-723-8440 | |
Timothy Stephen Glowniak, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1083 E M 21, Owosso, MI 48867 Phone: 989-723-6124 Fax: 989-725-1376 | |
Dr. Bethany Chung, Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 E Exchange St, Owosso, MI 48867 Phone: 989-723-4700 | |
Dr. Jeffrey L. Golombisky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1336 E M 21, Owosso, MI 48867 Phone: 989-723-8135 Fax: 989-723-8649 | |
Dr. Mark S Medel, DDS ORAL AND MAXILLO Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 N Shiawassee St, Owosso, MI 48867 Phone: 989-723-3882 Fax: 989-729-1723 | |
Phillip James Wolf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 N Park St, Owosso, MI 48867 Phone: 989-725-7825 |