MIDLAND ORAL & MAXILLOFACIAL SURGERY P.C. NPI 1619964715

NPI Information

  • NPI: 1619964715
  • Provider Name: MIDLAND ORAL & MAXILLOFACIAL SURGERY P.C.
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Other Name: MT. PLEASANT ORAL & MAXILLOFACIAL SURGERY
  • Address: 6112 MERLIN CT
    MIDLAND, MI
    ZIP 48640
  • Phone: (989) 839-9979

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NPI Details

MIDLAND ORAL & MAXILLOFACIAL SURGERY P.C. is an oral maxillofacial surgery in Midland, MI. The provider is 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. MIDLAND ORAL & MAXILLOFACIAL SURGERY P.C. NPI is 1619964715. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mt. Pleasant Oral & Maxillofacial Surgery.

The provider's business location address is:

6112 MERLIN CT
MIDLAND, MI
ZIP 48640
Phone: (989) 839-9979
Fax: (989) 839-9553

The provider's authorized official is Shianne Bowers .
The authorized official title is Financial Dept and has the following contact phone number (989) 839-9979.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 2/17/2020.

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
1204E00000XOral & Maxillofacial SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13487133MEDICAIDMICHIGAN
24274317MEDICAIDMICHIGAN
32847912MEDICAIDMICHIGAN
44297311MEDICAIDMICHIGAN
52993779MEDICAIDMICHIGAN
63487124MEDICAIDMICHIGAN
7426977MEDICAIDMICHIGAN
84285455MEDICAIDMICHIGAN
94263986MEDICAIDMICHIGAN
104274282MEDICAIDMICHIGAN
114274291MEDICAIDMICHIGAN
124274308MEDICAIDMICHIGAN

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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