Summit Oral & Maxillofacial Surgery Pc in Warren - Oral And Maxillofacial Surgery
Summit Oral & Maxillofacial Surgery Pc - NPI 1811066129
Summit Oral & Maxillofacial Surgery Pc is a Oral And Maxillofacial Surgery in Warren, Michigan. Summit Oral & Maxillofacial Surgery Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Summit Oral & Maxillofacial Surgery Pc is 1811066129. The last update date is 2009-09-14.
Summit Oral & Maxillofacial Surgery Pc's current location address is 29425 Ryan Rd, Warren, Michigan. You can contact this provider via phone number 5867559340 and fax number 5867559341. The mailing address for Summit Oral & Maxillofacial Surgery Pc is 29425 Ryan Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Oral & Maxillofacial Surgery Pc |
|---|---|
| Address | 29425 Ryan Rd, Warren, Michigan |
| Phone Number | 5867559340 |
| Fax Number | 5867559341 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING SP |
|---|---|
| Authorized Official Name | Windisch M Jane |
| Telephone Number | 5867559340 |
NPI Number Detail
| NPI Number | 1811066129 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2009-09-14 |
Provider Mailing Address Detail
| Address | 29425 Ryan Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480922203 |
| Phone Number | 5867559340 |
| Fax Number | 5867559341 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970E076800 | MI | BC | |
| 0E07680 | MI | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Summit Oral & Maxillofacial Surgery Pc by the Centers for Medicare & Medicaid Services?
The Summit Oral & Maxillofacial Surgery Pc has been issued the NPI (National Provider Identifier) 1811066129. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Summit Oral & Maxillofacial Surgery Pc located?
The Summit Oral & Maxillofacial Surgery Pc is located at 29425 Ryan Rd, Warren, MI 480922203.
What is Summit Oral & Maxillofacial Surgery Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Summit Oral & Maxillofacial Surgery Pc's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
When was the Summit Oral & Maxillofacial Surgery Pc's 1811066129 issued?
The Summit Oral & Maxillofacial Surgery Pc's 1811066129 was issued on 2006-11-08.
As of what date were the Summit Oral & Maxillofacial Surgery Pc's details last updated?
The information pertaining to the Summit Oral & Maxillofacial Surgery Pc, including its address, specialty, and other details, was most recently updated on 2009-09-14.