METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C. (NPI# 1619021862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619021862 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C. |
| Practice Address |
5080 W Bristol Rd Flint MI 48507-2923 |
| Practice Telephone | 8107335570 |
| Practice Fax Number | 8107330221 |
| Mailing Telephone | 8107335570 |
| Mailing Fax Number | 8107330221 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | DR. GEORGE THOMAS GOFFAS (SURGEON) |
| Authorized Official Telephone | 8107335570 |
| Authorized Official Credential | D.D.S., M.D., M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
MI | Dental Providers | |
| N | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTH PLUS DR. HYDE | 0986834 | 01 |
| MI | BCBS DENTAL DR. GOFFAS | D147080 | 01 |
| MI | HEALTH PLUS DR. GOFFAS | 0986425 | 01 |
| MI | DENTAMAX DR. GOFFAS | 2901014708 | 01 |
| MI | DR. HYDE GLOBAL | 1009797 | 01 |
| MI | DENTAMAX DR. HYDE | 2901014309 | 01 |
| MI | BCBS DENTAL DR. HYDE | D143090 | 01 |
| MI | BCBS DENTAL | S1D8003860 | 01 |
| MI | UNITED CONCORDIA | 1310702 | 01 |
| MI | MEDICARE RAILROAD | DB0981 | 01 |
| MI | DR. HYDE BCN | P59769 | 01 |
| Street Address |
5080 W BRISTOL RD |
| City | FLINT |
| State | MI |
| Zip Code | 48507-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669585261 | Stephen Murray Hildensperger | Dentist | 5080 W Bristol Rd, Flint, MI 48507-2923 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942468186 | Mid Michigan Oral Surgery | Dentist | 1040 Charlevoix Dr, Grand Ledge, MI 48837-2417 | 2008-05-23 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| 1235273152 | Oral and Maxillofacial Surgery Associates of Michigan, P.C. | Dentist | 32905 W 12 Mile Rd Ste 200, Farmington Hills, MI 48334-3344 | 2007-02-16 |
| 1548283559 | Oral and Maxillofacial Surgery Services, Plc | Dentist | 4500 Cascade Rd Se, Suite #208, Grand Rapids, MI 49546-3665 | 2006-07-25 |
| 1063440543 | Fredric L Bonine | Dentist | 6893 Grand River Rd, Brighton, MI 48114-9345 | 2006-06-30 |
| 1508805607 | Joseph Vincent Mauro | Dentist | 231 W. Lake Lansing Rd, Suite 200, East Lansing, MI 48823-8451 | 2006-06-05 |
| 1952397093 | Arvind Gulati | Dentist | 23655 Novi Rd Ste 103, Novi, MI 48375-5442 | 2005-09-23 |
| 1831194141 | Edwin J., Jr. Rennell | Dentist | 34441 8 Mile Rd, Ste 107, Livonia, MI 48152-4013 | 2005-06-15 |
| 1255333431 | Gary Harold Dwight | Dentist | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | 2005-06-01 |
| 1588900518 | Chia-cheng Li | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2012-12-19 |
| 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.