BIRMINGHAM ORAL & MAXILLOFACIAL SURGERY, PLC


Address: 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009
Phone: 2486474700

BIRMINGHAM ORAL & MAXILLOFACIAL SURGERY, PLC (NPI# 1598255044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598255044
Entity Type Organization
Organization Name BIRMINGHAM ORAL & MAXILLOFACIAL SURGERY, PLC
Practice Address 555 S Old Woodward Ave Ste 777
Birmingham
MI 48009
Mailing Address 555 S Old Woodward Ave Ste 777
Birmingham
MI 48009-6618
Practice Telephone 2486474700
Practice Fax Number 2486474730
Mailing Telephone 2486474700
Mailing Fax Number 2486474730
Enumeration Date 2018-05-10
Last Update Date 2018-07-13
Authorized Official Name BEVERLY MCNAUGHTON (BILLER)
Authorized Official Telephone 4864747002
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
2901012981 MI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 2990516 05

Office Location

Street Address 555 S OLD WOODWARD AVE STE 777
City BIRMINGHAM
State MI
Zip Code 48009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811979719 Jonathon Henning Anderson Dentist 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009-6618 2005-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487183836 Carolyn Joanna Archer Dietitian, Registered 1155 Derby Rd, Apt 3, Birmingham, MI 48009 2017-06-08
1912374695 Valerie Kim Kaplansky Counselor 300 E. Maple Road, 315, Birmingham, MI 48009 2015-08-28
1578956348 Nancy Jane Naski Recreation Therapist 623 Hanna St, Birmingham, MI 48009 2015-03-18
1619370236 Caitlin Stoltman Recreation Therapist 1669 W. Maple Rd., Far, Birmingham, MI 48009 2014-09-28
1295140770 Lauren Elizabeth Perlin Obstetrics & Gynecology 35046 Woodward Ave Ste 100, Birmingham, MI 48009 2014-06-24
1235560764 Better Life Learning Community/Behavioral Health 33717 Woodward Ave #253, Birmingham, MI 48009 2013-12-10
1689949034 Drs Housecalls PC Internal Medicine 298 S. Old Woodward, Birminham, MI 48009 2012-03-19
1689942021 Brian Connolly Md PC Psychiatry & Neurology 189 Townsend, Suite 300, Birmingham, MI 48009 2011-12-13
1619204187 Dr. Lori PC Dermatology 353 South Old Woodward Ave, Birmingham, MI 48009 2009-11-04
1033348453 Jason Eric Gregory Music Therapist 1669 West Maple, Birmingham, MI 48009 2009-07-07
Find all providers in zip 48009

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710196506 Lisa Miller Dentist 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 2007-05-21
1063506533 Harold Newton Burton Dentist 1771 Independence Court, Suite 2, Birmingham, AL 35216 2006-10-02
1982719639 William Pettus Buck Jr. Dentist 1112 19th St S, Birmingham, AL 35205-4814 2006-08-21
1578677233 Christopher Michael Rothman Dentist 2290 Valleydale Road, Suite 100, Birmingham, AL 35244-2011 2006-08-19
1669441333 Dennis Dale Carr Dentist 101 Heatherbrooke Park Dr, Birmingham, AL 35242-8008 2006-03-16
1497739494 Jon D Holmes Dentist 1500 19th St S, Suite 200, Birmingham, AL 35205-5628 2005-12-02
1811979719 Jonathon Henning Anderson Dentist 555 S Old Woodward Ave Ste 777, Birmingham, MI 48009-6618 2005-11-16
1881236883 Blake Phillips D.m.d., P.C. Dentist 1112 19th St S, Birmingham, AL 35205-4814 2019-10-10
1003378274 Ryan Chase Seeley Dentist 1919 7th Ave S, Birmingham, AL 35233-2005 2019-04-04
1447643523 Shelby Oral Facial Surgery Dentist 1 Inverness Center Pkwy, Suite 200, Birmingham, AL 35242-4817 2015-03-12
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 48009

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Dataset Information

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.

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