Dr Bryan J Johnson, DDS | |
4250 Pontiac Lake Rd, Suite B, Waterford, MI 48328-1281 | |
(248) 674-0303 | |
(248) 674-2947 |
Full Name | Dr Bryan J Johnson |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 21 Years |
Location | 4250 Pontiac Lake Rd, Waterford, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740384981 | NPI | - | NPPES |
190F37120 | Other | MI | BCBS OF MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | BJ017615 (Michigan) | Primary |
204E00000X | Oral & Maxillofacial Surgery | BJ017615 (Michigan) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oral And Facial Surgeons Of Michigan Pc | 4082526132 | 4 |
Entity Name | Oral And Facial Surgeons Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275640369 PECOS PAC ID: 4082526132 Enrollment ID: O20031105000650 |
Mailing Address | Practice Location Address |
---|---|
Dr Bryan J Johnson, DDS 11525 Highland Rd, Suite 23, Hartland, MI 48353-2726 Ph: (810) 632-0303 | Dr Bryan J Johnson, DDS 4250 Pontiac Lake Rd, Suite B, Waterford, MI 48328-1281 Ph: (248) 674-0303 |
Dr. Frank S Jones Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 2335 Pontiac Lake Rd, Waterford, MI 48328 Phone: 248-681-3600 Fax: 248-681-7172 | |
Dr. Elaine K Gantz, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4005 Highland Rd, Waterford, MI 48328 Phone: 248-682-4971 | |
Dr. David James Mcchesney, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5155 Dixie Hwy, Waterford, MI 48329 Phone: 248-674-4659 Fax: 248-674-2087 | |
Dr. Marvin S Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1101 W Huron St, Waterford, MI 48328 Phone: 248-681-8100 Fax: 248-681-6318 | |
William Scott Ward, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4597 W Walton Blvd, Waterford, MI 48329 Phone: 248-673-8898 Fax: 248-673-5224 | |
Dr. Allan Jacobs, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2335 Pontiac Lake Rd, Waterford, MI 48328 Phone: 248-683-2300 | |
Dr. David Lieberman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3661 Highland Road, Waterford, MI 48328 Phone: 248-682-6883 |