Individual provider · Type 1 NPI

Thomas Richard Bolten, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · West Bloomfield, MI

NPI number 1053545707 Active

Practice location

6022 W Maple Rd Ste 405
West Bloomfield, MI 48322-4408

Fax (248) 855-0571

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901020176 (MI)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1053545707

Thomas Richard Bolten, DDS, MD's National Provider Identifier is 1053545707, issued on May 11, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in West Bloomfield, MI. The record was last updated on Jun 19, 2025.