MICHIGAN OMS P C (NPI# 1801906458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801906458 |
| Entity Type | Organization |
| Organization Name | MICHIGAN OMS P C |
| Practice Address |
6022 W Maple Rd Ste 405 West Bloomfield MI 48322-4408 |
| Practice Telephone | 2488552006 |
| Practice Fax Number | 2488550571 |
| Mailing Telephone | 2488552006 |
| Mailing Fax Number | 2488550571 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | DR. NICHOLAS J BOURNIAS (PRESIDENT) |
| Authorized Official Telephone | 5862289070 |
| Authorized Official Credential | DDS |
| 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 | 1021382 | 05 | |
| MI | 3203473 | 05 | |
| MI | STATE LICENSE NUMBER | NB015573 | 01 |
| MI | 2990552 | 05 | |
| MI | 2990561 | 05 | |
| MI | STATE LICENSE NUMBER | JA012981 | 01 |
| MI | STATE LICENSE NUMBER | JH013563 | 01 |
| MI | 2990516 | 05 | |
| MI | 3159052 | 05 | |
| MI | 4067429 | 05 | |
| MI | GROUP NUMBER BCBSM | 970F31085 | 01 |
| MI | STATE LICENSE NUMBER | 2901020355 | 01 |
| MI | STATE LICENSE NUMBER | JT009517 | 01 |
| MI | 2773480 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 43900 Garfield Rd Ste 103, Clinton Township, MI 480381137 | 5862289070 |
| Street Address |
6022 W MAPLE RD STE 405 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396727293 | Jeffrey Stephen Topf | Dentist | 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 | 2005-11-16 |
| 1053545707 | Thomas Richard Bolten | Dentist | 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 | 2009-05-11 |
| 1861674137 | Brian Cleland Murphy | Dentist | 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| 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 |
|---|---|---|---|---|
| 1013321165 | Raymond James Hanna | Dentist | 3766 Elder Rd S, West Bloomfield, MI 48324-2534 | 2014-06-17 |
| 1396727293 | Jeffrey Stephen Topf | Dentist | 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 | 2005-11-16 |
| 1053545707 | Thomas Richard Bolten | Dentist | 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 | 2009-05-11 |
| 1861674137 | Brian Cleland Murphy | Dentist | 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322-4408 | 2007-11-28 |
| 1073585022 | Jeffrey S. Cohen | Dentist | 2300 Haggerty Rd, Suite 2030, West Bloomfield, MI 48323-2184 | 2006-02-03 |
| 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 |
| 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 |
| 1770848129 | Bradley Dental | Dentist | 21635 Ryan Rd, Warren, MI 48091-2788 | 2012-07-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
Please comment or provide details below to improve the information on MICHIGAN OMS P C.
| 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.