Dr Thomas Richard Bolten, DDS, MD | |
6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 | |
(248) 855-2006 | |
(248) 855-0571 |
Full Name | Dr Thomas Richard Bolten |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 10 Years |
Location | 6022 W Maple Rd Ste 405, West Bloomfield, 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 |
---|---|---|---|
1053545707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901020176 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Oms P C | 9739084559 | 2 |
Entity Name | Michigan Oms P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801906458 PECOS PAC ID: 9739084559 Enrollment ID: O20031204000911 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Richard Bolten, DDS, MD 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 Ph: (248) 855-2006 | Dr Thomas Richard Bolten, DDS, MD 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 Ph: (248) 855-2006 |
Dr. Douglas Shiffman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6400 Farmington Road, West Bloomfield, MI 48322 Phone: 248-661-4000 Fax: 248-661-4003 | |
Dr. Raymond James Hanna, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3766 Elder Rd S, West Bloomfield, MI 48324 Phone: 248-360-1180 | |
Dr. Rita Paulus, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2300 Haggerty Rd Ste 2040, West Bloomfield, MI 48323 Phone: 248-624-0008 | |
Mr. Ronald D Berris, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6400 Farmington Road, West Bloomfield, MI 48322 Phone: 248-661-4000 Fax: 248-661-4003 | |
Dr. Vishnu Vardhan-reddy Burla, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 33200 W 14 Mile Rd Ste 190, West Bloomfield, MI 48322 Phone: 248-847-3828 Fax: 248-847-3829 | |
Dr. Jeffrey S. Cohen, D.D.S. Dentist Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd, Suite 2030, West Bloomfield, MI 48323 Phone: 248-669-6600 Fax: 248-669-6606 |