Newport Oral Surgery

LBN: Thomas R. Michaelis, D.D.S., M.D., Inc, Ryan M. Kriwanek, D.D.S., M.D.
Newport Oral Surgery is an health care organization with primary practice located at 1401 Avocado Ave. Suite 506 , Newport Beach CA 92660. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Thomas R. Michaelis, D.D.S., M.D., Inc, Ryan M. Kriwanek, D.D.S., M.D. can be contacted via phone (949) 760-1661, or through Michaelis, Thomas Raymond via phone (949) 760-1661.

Contact Information

Primary practice address
1401 Avocado Ave. Suite 506 Newport Beach CA 92660
Phone: (949) 760-1661
Fax: (949) 760-8016
Website:
Map and Directions
Authorized official contact:
Name: Michaelis, Thomas Raymond DDS, MD
Phone: (949) 760-1661

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22313 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 38855 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 42745 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 58948 California
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X

Profile Details

NPI number 1356892657
LBN Legal business name Thomas R. Michaelis, D.D.S., M.D., Inc, Ryan M. Kriwanek, D.D.S., M.D.
DBA Doing business as Newport Oral Surgery
Authorized official Michaelis, Thomas Raymond DDS, MD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2016
Last updated Jan 23rd, 2020 - about 5 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.

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