Dr Richard Michael Benian, DDS | |
9880 E Grand River Ave, Suite 150, Brighton, MI 48116-2468 | |
(810) 227-2626 | |
(810) 227-8532 |
Full Name | Dr Richard Michael Benian |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 9880 E Grand River Ave, Brighton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902866239 | NPI | - | NPPES |
190F37120 | Other | MI | BLUECROSS MEDICAL PIN NUM |
P103067 | Other | MI | BLUE CRSS NETWORK NUMBER |
D802670 | Other | MI | BLUE CROSS DENTAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 14656 (Michigan) | Primary |
204E00000X | Oral & Maxillofacial Surgery | RB014656 (Michigan) | Secondary |
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 Richard Michael Benian, DDS 11525 Highland Rd, Suite 23, Hartland, MI 48353-2726 Ph: (810) 632-7257 | Dr Richard Michael Benian, DDS 9880 E Grand River Ave, Suite 150, Brighton, MI 48116-2468 Ph: (810) 227-2626 |
Dr. Todd Charlick, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5710 Whitmore Lake Rd, Brighton, MI 48116 Phone: 810-229-9346 Fax: 810-229-2688 | |
Dr. Gerald Robert Ryan, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4601 Crestway Dr, Brighton, MI 48116 Phone: 810-845-7021 | |
Dr. Fredric L Bonine, DDS, MS, PC Dentist Medicare: Accepting Medicare Assignments Practice Location: 6893 Grand River Rd, Brighton, MI 48114 Phone: 810-229-9180 Fax: 810-229-1880 | |
Dr. Richard Russell Doney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8619 W Grand River, Ste A, Brighton, MI 48116 Phone: 810-229-8191 | |
Dr. Brian Jon Petersburg, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8641 W Grand River Ave, Suite 6, Brighton, MI 48116 Phone: 810-227-4224 Fax: 810-227-4660 | |
Dr. Tara L Wilson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5710 Whitmore Lake Rd, Brighton, MI 48116 Phone: 810-229-9346 Fax: 810-229-2688 | |
Dr. Mark Charles Francuck, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8619 W Grand River Ave, Suite E, Brighton, MI 48116 Phone: 810-227-7059 Fax: 810-227-3562 |