DR. JEFFREY L WASIELEWSKI (NPI# 1639193915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639193915 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY L WASIELEWSKI |
| Credential | D.D.S. |
| Practice Address |
9416 S Main St Ste 211 Plymouth MI 48170-4157 |
| Mailing Address |
9416 S Main St Ste 211 Plymouth MI 48170-4183 |
| Practice Telephone | 7344550710 |
| Practice Fax Number | 7344554433 |
| Mailing Telephone | 7344780329 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901017635 | MI | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 2901017635 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
9416 S MAIN ST STE 211 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-4157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245253111 | Plymouth Oral & Facial Surgery, Plc | Dentist | 9416 S Main St, Suite 211, Plymouth, MI 48170-4157 | 2006-07-25 |
| 1750532511 | Drs Bookwalter,fee & Wright, P.C. | Dentist | 9416 S Main St, Suite 111, Plymouth, MI 48170-4157 | 2008-10-09 |
| 1356469787 | Steve J Vlahakis | Dentist | 9416 S Main St, Suite 212, Plymouth, MI 48170-4148 | 2007-03-26 |
| 1417075847 | Dennis Michael Gut | Dentist | 9416 S Main St, Suite 212, Plymouth, MI 48170-4148 | 2007-03-26 |
| 1730222415 | Nils John Korsnes | Dentist | 9416 S Main St, Suite 112, Plymouth, MI 48170-4157 | 2007-02-14 |
| 1376610352 | David Allen Aldrich | Dentist | 9416 S Main St, Plymouth, MI 48170-4157 | 2006-11-29 |
| 1831295369 | Norman J Betts | Dentist | 9416 S Main St, Suite 211, Plymouth, MI 48170-4157 | 2006-09-15 |
| 1083718613 | David H Sturtz | Dentist | 9416 S Main St, Suite 211, Plymouth, MI 48170-4157 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| 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 |
|---|---|---|---|---|
| 1235204116 | Daniel Shane O'brien | Dentist | 74 Summer St, Plymouth, MA 02360-3457 | 2006-11-23 |
| 1417034661 | Minnesota Maxillofacial and Oral Consultants | Dentist | 15600 36th Ave N Ste 100, Plymouth, MN 55446-3369 | 2006-11-01 |
| 1245253111 | Plymouth Oral & Facial Surgery, Plc | Dentist | 9416 S Main St, Suite 211, Plymouth, MI 48170-4157 | 2006-07-25 |
| 1982662821 | Dennie L Malone | Dentist | 133 Seaview Dr, Plymouth, MA 02360-8510 | 2006-05-02 |
| 1619947314 | William Peter Hoffmann | Dentist | 15655 37th Ave. N., 280, Plymouth, MN 55446-4000 | 2006-01-25 |
| 1528326428 | William Mcneely Lane | Dentist | 30 Resnik Rd, Plymouth, MA 02360-7211 | 2012-04-27 |
| 1578872685 | Minnesota Oral & Maxillofacial Surgery, P.a. | Dentist | 15655 37th Ave. N., 280, Plymouth, MN 55446-4000 | 2010-10-07 |
| 1376610352 | David Allen Aldrich | Dentist | 9416 S Main St, Plymouth, MI 48170-4157 | 2006-11-29 |
| 1194826917 | Metropolitan Oral and Maxillofacial Surgeons Pa | Dentist | 2855 Campus Dr, Ste 670, Plymouth, MN 55441-2649 | 2006-09-26 |
| 1407954761 | Lane Oral & Maxillofacial Surgery PC | Dentist | 30 Resnik Rd, Plymouth, MA 02360 | 2006-09-20 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on DR. JEFFREY L WASIELEWSKI.
| 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.