Organization · Type 2 NPI

South Shore Oms PC

Oral and Maxillofacial Surgery (Dentist) · Dearborn, MI

NPI number 1437061306 Active

Practice location

2135 Monroe St
Dearborn, MI 48124-2922

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone 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.

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About NPI 1437061306

South Shore Oms PC's National Provider Identifier is 1437061306, issued on Sep 17, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dearborn, MI. The record was last updated on Sep 17, 2026.