Organization · Type 2 NPI
Renaissance Oral Surgery PC
Oral and Maxillofacial Surgery (Dentist) · Roseville, MI
NPI number
1235325499
Active
Practice location
20805 E 12 Mile Rd, Ste 110
Roseville, MI 48066
Fax (586) 778-2422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | None listed |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | None listed |
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.
4 other providers at this address
- J.l. Colon, Dds, PLLCGeneral Practice Dentistry Roseville, MI NPI 1932450483
- Diana Livia Mastronardi, DDSGeneral Practice Dentistry Roseville, MI NPI 1326104134
- Henry Gasson Bryan, DDSOral & Maxillofacial Surgery (D.M.D.) Roseville, MI NPI 1992739379
- Michelene Riley Lepczyk, DDSGeneral Practice Dentistry Roseville, MI NPI 1871606483
About NPI 1235325499
Renaissance Oral Surgery PC's National Provider Identifier is 1235325499, issued on Sep 21, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Roseville, MI. The record was last updated on Oct 1, 2013.