Renaissance Oral Surgery Pc
LBN: Renaissance Oral Surgery Pc
Renaissance Oral Surgery Pc is an health care organization with primary practice located at 20805 E 12 Mile Rd Ste 110, Roseville MI 48066. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Renaissance Oral Surgery Pc can be contacted via phone (586) 778-2100, or through Bryan, Henry via phone (586) 778-2100.
Contact Information
Primary practice address
20805 E 12 Mile Rd Ste 110
Roseville MI 48066
Phone: (586) 778-2100
Fax: (586) 778-2422
Website:
Authorized official contact:
Name: Bryan, Henry Doctor of Dental Surgery (DDS)
Phone: (586) 778-2100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | ||
| Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X |
Profile Details
| NPI number | 1235325499 |
|---|---|
| LBN Legal business name | Renaissance Oral Surgery Pc |
| DBA Doing business as | |
| Authorized official | Bryan, Henry Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Oct 1st, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235325499 | NPPES |
| Michigan | Other | 975506164 | BC/BS MEDICARE ADVANTAGE |
| Michigan | Other | U33701 | BC/BS MEDICARE ADVANTAGE |
| Michigan | Other | 2856 | BC/BS MEDICARE ADVANTAGE |
| Michigan | Other | 128744 | BC/BS MEDICARE ADVANTAGE |
| Michigan | Other | 975506164 | BC/BS MEDICARE ADVANTAGE |
| Michigan | Other | P00230001 | BC/BS MEDICARE ADVANTAGE |
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