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METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY P.L.L.C. NPI 1619021862


NPI Information

NPI: 1619021862
Provider Name: METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C.
Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

Address:
5080 W BRISTOL RD
FLINT, MI
ZIP 48507
Phone: (810) 733-5570
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METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C. is an oral and maxillofacial pathology dentist in Flint, MI. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C. NPI is 1619021862. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5080 W BRISTOL RD
FLINT, MI
ZIP 48507-923
Phone: (810) 733-5570
Fax: (810) 733-0221

The provider's authorized official is George Thomas Goffas .
The authorized official title is Surgeon and has the following contact phone number (810) 733-5570.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 3/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryMICHIGANNo
2204E00000XOral & Maxillofacial SurgeryNo
31223P0106XDentistOral and Maxillofacial PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10986425OTHERMICHIGANHEALTH PLUS DR. GOFFAS
21310702OTHERMICHIGANUNITED CONCORDIA
3DB0981OTHERMICHIGANMEDICARE RAILROAD
41009797OTHERMICHIGANDR. HYDE GLOBAL
5S1D8003860OTHERMICHIGANBCBS DENTAL
6D147080OTHERMICHIGANBCBS DENTAL DR. GOFFAS
7P59769OTHERMICHIGANDR. HYDE BCN
8D143090OTHERMICHIGANBCBS DENTAL DR. HYDE
9F72991MEDICARE UPINMICHIGAN
102901014309OTHERMICHIGANDENTAMAX DR. HYDE
112901014708OTHERMICHIGANDENTAMAX DR. GOFFAS
120986834OTHERMICHIGANHEALTH PLUS DR. HYDE
13T82847MEDICARE UPINMICHIGAN
140M99530MEDICARE PINMICHIGAN

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: 4/28/2024

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