ORAL SURGERY P.L.L.C NPI 1295133460

NPI Information

  • NPI: 1295133460
  • Provider Name: ORAL SURGERY P.L.L.C
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 51745 VAN DYKE AVE
    SHELBY TOWNSHIP, MI
    ZIP 48316
  • Phone: (586) 323-1600

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NPI Details

ORAL SURGERY P.L.L.C is an oral and maxillofacial surgery dentist in Shelby Township, MI. The provider is an oral and maxillofacial surgery dentist specialized in 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. ORAL SURGERY P.L.L.C NPI is 1295133460. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

51745 VAN DYKE AVE
SHELBY TOWNSHIP, MI
ZIP 48316-451
Phone: (586) 323-1600
Fax: (586) 323-1644

The provider's authorized official is Amy Phipps .
The authorized official title is Tx Coordinator and has the following contact phone number (586) 323-1600.

The enumeration date for this NPI number is 12/19/2014 and was last updated on 12/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery2901019237MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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