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Renaissance Oral Surgery Pc
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Roseville, Michigan
NPI 1235325499

Renaissance Oral Surgery Pc is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician based in Roseville, MI and is specialized in Plastic Surgery Within the Head and Neck. Renaissance Oral Surgery Pc practices in Roseville, MI. The NPI Number for Renaissance Oral Surgery Pc is 1235325499 and holds a License No. (Michigan).

The current practice location address for Renaissance Oral Surgery Pc is 20805 E 12 Mile Rd, Roseville, MI and can be reached out via phone at 586-778-2100 and via fax at 586-778-2422.

Location: 20805 E 12 Mile Rd, Roseville, MI, 48066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235325499
Provider Name
Renaissance Oral Surgery Pc
Credential
Provider Entity Type
Organization
Address
20805 E 12 Mile Rd, Roseville, MI, 48066
Phone Number
586-778-2100
Fax Number
586-778-2422
Provider Enumeration Date
09/21/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
975506164 01 MI BC/BS MEDICARE ADVANTAGE
U33701 01 MI HAP
2856 01 MI GOLDEN DENTAL
128744 01 MI CARE CHOICES
975506164 01 MI BC/BS OF MI
P00230001 01 MI MEDICARE PROVIDER
institution
Provider Business Practice Location Address Details
Address
20805 E 12 Mile Rd
City
Roseville
State
Michigan
Zip
48066
Phone Number
586-778-2100
Fax Number
586-778-2422
person
Provider Business Mailing Address Details
Address
20805 E 12 Mile Rd
City
Roseville
State
Michigan
Zip
48066
Phone Number
586-778-2100
Fax Number
586-778-2422
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
()
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
()
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
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