MIDWESTERN ORAL SURGERY ASSOCIATES, PLLC (NPI# 1992754022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992754022 |
| Entity Type | Organization |
| Organization Name | MIDWESTERN ORAL SURGERY ASSOCIATES, PLLC |
| Practice Address |
5050 Schaefer Rd Dearborn MI 48126-3249 |
| Practice Telephone | 3135828150 |
| Practice Fax Number | 3135826015 |
| Mailing Telephone | 3135828150 |
| Mailing Fax Number | 3135826015 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | JEFFREY REIDER (PRESIDENT MIDWESTERN CLINICAL OPS.) |
| Authorized Official Telephone | 3135828150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
N/A | Dental Providers |
| Street Address |
5050 SCHAEFER RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619947819 | Sai Lakshmi Kanneganti | General Practice | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2006-01-23 |
| 1801349428 | Michael Nguyen | Dentist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2016-08-01 |
| 1023460847 | Camilo Arguello | Dentist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2016-07-05 |
| 1396196200 | Wei Yao | Dentist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2016-06-22 |
| 1871900159 | Parveez Azizbhai Rangwala | Dentist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2014-07-17 |
| 1134402142 | Michael Christian Saba | Dentist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2011-09-26 |
| 1578873691 | Edward Carson Dorsey | Psychologist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2010-10-08 |
| 1366764920 | Kihyun Kim | Dentist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2010-02-24 |
| 1629255468 | Kathleen Kuet | Dentist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2008-01-23 |
| 1023294220 | Midwest Health Center | Orthopaedic Surgery | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2008-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| 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 |
|---|---|---|---|---|
| 1215926027 | Robert A Miller | Dentist | 2135 Monroe St, Dearborn, MI 48124-2922 | 2005-10-14 |
| 1427336940 | Adam Fisher | Dentist | 2250 Monroe St, Dearborn, MI 48124-3008 | 2011-08-01 |
| 1457523714 | Robert B Felsenfeld Dds PC | Dentist | 22731 Newman St, Suite 240, Dearborn, MI 48124-3852 | 2008-03-27 |
| 1114045259 | Robert A. Miller, Dds, Ms, P.C. | Dentist | 2142 Monroe St, Suite B, Dearborn, MI 48124-3057 | 2007-03-27 |
| 1235109349 | Robert Bruce Felsenfeld | Dentist | 22731 Newman St, Suite 240, Dearborn, MI 48124-3852 | 2006-01-23 |
| 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.