DETROIT ORAL SURGERY SPECIALISTS PLLC NPI 1477395119

NPI Information

  • NPI: 1477395119
  • Provider Name: DETROIT ORAL SURGERY SPECIALISTS PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 13874 GRAND RIVER AVE
    DETROIT, MI
    ZIP 48227
  • Phone: (313) 834-4900

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NPI Details

DETROIT ORAL SURGERY SPECIALISTS PLLC is an oral and maxillofacial surgery dentist in Detroit, 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. DETROIT ORAL SURGERY SPECIALISTS PLLC NPI is 1477395119. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13874 GRAND RIVER AVE
DETROIT, MI
ZIP 48227-123
Phone: (313) 834-4900

The provider's authorized official is Alex Wolicki .
The authorized official title is Accountant and has the following contact phone number (586) 558-8004.

The enumeration date for this NPI number is 6/12/2024 and was last updated on 6/12/2024.

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 SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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