Individual provider · Type 1 NPI
Anthony Coyle Fasi, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Ann Arbor, MI
NPI number
1659690204
Active
Practice location
2058 South State Street, Suite 100
Ann Arbor, MI 48104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901020181 (MI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2901020181 (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.
Another provider at this address
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About NPI 1659690204
Anthony Coyle Fasi, DDS, MD's National Provider Identifier is 1659690204, issued on May 21, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 6, 2016.