OMS MICHIGAN PLLC NPI 1760389597

NPI Information

  • NPI: 1760389597
  • Provider Name: OMS MICHIGAN, PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • :
  • Address: 12150 30 MILE RD STE 202
    WASHINGTON, MI
    ZIP 48095
  • Phone: (586) 752-9691

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NPI Details

OMS MICHIGAN, PLLC is an oral and maxillofacial surgery dentist in Washington, 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. OMS MICHIGAN, PLLC NPI is 1760389597. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

12150 30 MILE RD STE 202
WASHINGTON, MI
ZIP 48095-035
Phone: (586) 752-9691

The provider's authorized official is Danielle Cuthbertson .
The authorized official title is Vp Rcm and has the following contact phone number (602) 412-8560.

The enumeration date for this NPI number is 10/23/2026 and was last updated on 10/23/2026.

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?

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

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