DR. MIKAELA KOFMAN DMD NPI 1942861612

NPI Information

NPI: 1942861612
Provider Name: DR. MIKAELA KOFMAN, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
4201 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
Phone: (313) 745-4697
Get Directions

DR. Mikaela Kofman, DMD is an oral and maxillofacial surgery dentist in Detroit, MI. The provider is the specialty of dentistry which includes 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. DR. Mikaela Kofman, DMD NPI is 1942861612. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4201 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201-153
Phone: (313) 745-4697

The enumeration date for this NPI number is 6/24/2019 and was last updated on 8/23/2021.

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
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2901600522	MICHIGAN	Yes
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	1741998	MICHIGAN	No

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: 11/14/2023

NPI Synchronization or Removal

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