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Michigan Oral And Maxillofacial Surgeons, P.c.
Oral and Maxillofacial Surgery (Dentist) in Ann Arbor, Michigan
NPI 1528008042

Michigan Oral And Maxillofacial Surgeons, P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Ann Arbor, MI and is specialized in Oral and Maxillofacial Surgery. Michigan Oral And Maxillofacial Surgeons, P.c. practices in Ann Arbor, MI. The NPI Number for Michigan Oral And Maxillofacial Surgeons, P.c. is 1528008042 and holds a License No. (Michigan).

The current practice location address for Michigan Oral And Maxillofacial Surgeons, P.c. is 2058 S State St Ste 100, Ann Arbor, MI and can be reached out via phone at 734-769-5302 and via fax at 734-769-8710.

Location: 2058 S State St Ste 100, Ann Arbor, MI, 48104-4786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528008042
Provider Name
Michigan Oral And Maxillofacial Surgeons, P.c.
Credential
Provider Entity Type
Organization
Address
2058 S State St Ste 100, Ann Arbor, MI, 48104-4786
Phone Number
734-769-5302
Fax Number
734-769-8710
Provider Enumeration Date
06/07/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
J801610 01 MI BCBS DENTAL GROUP #
970H17622 01 MI BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2058 S State St Ste 100
City
Ann Arbor
State
Michigan
Zip
48104-4787
Phone Number
734-769-5302
Fax Number
734-769-8710
person
Provider Business Mailing Address Details
Address
2058 S State St Ste 100
City
Ann Arbor
State
Michigan
Zip
48104-4787
Phone Number
734-769-5302
Fax Number
734-769-8710
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
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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.
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