ORAL AND FACIAL SURGEONS OF MICHIGAN, PC (NPI# 1275640369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275640369 |
| Entity Type | Organization |
| Organization Name | ORAL AND FACIAL SURGEONS OF MICHIGAN, PC |
| Practice Address |
11525 Highland Rd Suite 23 Hartland MI 48353-2726 |
| Practice Telephone | 8106320303 |
| Practice Fax Number | 8106327305 |
| Mailing Telephone | 8106320303 |
| Mailing Fax Number | 8106327305 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. EVELYN M DAVIS (BILLING DEPT./ACCOUNTS) |
| Authorized Official Telephone | 8106320303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
========= | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MI | 190F37120 | 01 |
| Street Address |
11525 HIGHLAND RD SUITE 23 |
| City | HARTLAND |
| State | MI |
| Zip Code | 48353-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780854455 | Susan Hafiz Abed | Dentist | 11525 Highland Rd, Suite 22, Hartland, MI 48353-2726 | 2008-03-10 |
| 1508052374 | Erika M Johnson | Dentist | 11525 Highland Rd, Suite 12, Hartland, MI 48353-2726 | 2007-09-14 |
| 1093913626 | Roseanna P Noordhoek | Dentist | 11525 Highland Rd, Suite 11, Hartland, MI 48353-2726 | 2007-07-05 |
| 1891860425 | Hartland Dental Group | Dentist | 11525 Highland Rd, Suite 21, Hartland, MI 48353-2726 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982020947 | Meredith Melissa Sophabmisay | Massage Therapist | 1700 Dorothys Way, Hartland, MI 48353 | 2014-03-13 |
| 1942431093 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 2160 Hartland Rd, Hartland, MI 48353 | 2009-08-06 |
| 1649316175 | Thomas Ralph Doud | Optometrist | 11200 Highland Road, Suite 501, Hartland, MI 48353 | 2007-01-30 |
| 1629140330 | Norbert Alphonse Zonca | Dentist | 12319 Highland Rd, Suite 100, Hartland, MI 48353 | 2006-11-15 |
| 1760586879 | Hartland Family Dental Pllc | Dentist | 12319 Highland, #100, Hartland, MI 48353 | 2006-09-11 |
| 1326208489 | Thomas R Doud Od PC | Optometrist | 11200 Highland Road, Suite 501, Hartland, MI 48353 | 2008-06-12 |
| 1932248077 | Christine Helen Kopel | General Practice | 11150 Highland Rd, Hartland, MI 48353 | 2007-02-05 |
| 1568538601 | Drew Michael Smith | Dentist | 12319 Highland Rd, Suite 100, Hartland, MI 48353 | 2006-11-28 |
| 1063962488 | Luke Moore | Technician, Other | 4243 Media Ln, Hartland, MI 48353-1330 | 2016-10-10 |
| 1700866274 | Bruce W Terrio | Internal Medicine | 12675 Whalen Lake Dr, Hartland, MI 48353-1513 | 2006-01-19 |
| Find all providers in zip 48353 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851429526 | Edward Steven Haenick | Dentist | 11525 Highland Rd Ste 23, Hartland, MI 48353-2726 | 2007-03-02 |
| 1093913626 | Roseanna P Noordhoek | Dentist | 11525 Highland Rd, Suite 11, Hartland, MI 48353-2726 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080414 | Shawn J Kim | Dentist | 425 E Washington St Apt 811, Ann Arbor, MI 48104-2060 | 2020-07-08 |
| 1760008528 | Great Lakes Oral and Maxillofacial Surgery P.C. | Dentist | 2325 Summit Park Dr Ste D, Petoskey, MI 49770-8774 | 2020-06-17 |
| 1962969634 | Garfield Road Dental - 1 | Dentist | 41781 Garfield Rd, Clinton Township, MI 48038-1964 | 2019-02-28 |
| 1477903904 | Abed Yakan | Dentist | 2700 Martin Luther King Jr. Blvd., 358, Detroit, MI 48208-2576 | 2016-06-15 |
| 1811378508 | Christopher Niquette | Dentist | 2119 64th Street Sw, Byron Center, MI 49315-4931 | 2015-06-18 |
| 1528446069 | Douglas David Orzel | Dentist | 9021 N Rodgers Ct Se Ste A, Caledonia, MI 49316-7650 | 2015-05-17 |
| 1013321165 | Raymond James Hanna | Dentist | 3766 Elder Rd S, West Bloomfield, MI 48324-2534 | 2014-06-17 |
| 1831536861 | Claude Charles Lerose Jr. | Dentist | 20675 Mack Ave, Grosse Pointe Woods, MI 48236 | 2013-05-31 |
| 1821433566 | Curtis Cardon | Dentist | 5957 Harvey St Ste 200, Norton Shores, MI 49444-9737 | 2013-05-08 |
| 1043568694 | Nick Leone Dds PC | Dentist | 28018 Harper Ave., St. Clair Shores, MI 48081-1562 | 2012-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.