Renaissance Oral Surgery Pc
Oral & Maxillofacial Surgery
20805 E 12 Mile Rd, Ste 110, Roseville
Michigan, 48066
586-778-2100 586-778-2422
Maps & DirectionsRenaissance Oral Surgery Pc is a Oral & Maxillofacial Surgery Clinic in Roseville, Michigan. It is located at 20805 E 12 Mile Rd, Ste 110, Roseville, MI and its contact number is 586-778-2100. The authorized person for Renaissance Oral Surgery Pc is Mr. Henry Bryan
who is President of the clinic and their contact number is 586-778-2100. Other organizations associated with this clinic are Renaissance Oral Surgery Pc, J.l. Colon, Dds, Pllc,
Renaissance Oral Surgery Pc Clinic Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Complete Clinic Profile:
Renaissance Oral Surgery Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Renaissance Oral Surgery Pc |
| Specialization: | Oral & Maxillofacial Surgery |
| Clinic Address: | 20805 E 12 Mile Rd, Ste 110, Roseville, Michigan, 48066 |
| Phone: | 586-778-2100 |
| Fax: | 586-778-2422 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Henry Bryan |
| Position: | President |
| Contact Number: | 586-778-2100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Renaissance Oral Surgery Pc clinic are as mentioned below.
| NPI Number: | 1235325499 |
| NPI Enumeration Date: | 21 Sep, 2007 |
| NPI Last Update On: | 01 Oct, 2013 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Renaissance Oral Surgery Pc | Oral & Maxillofacial Surgery | 1235325499 |
| J.l. Colon, Dds, Pllc | Oral & Maxillofacial Surgery (General Practice Dentistry) | 1932450483 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Renaissance Oral Surgery Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
| Oral & Maxillofacial Surgery | | | Secondary | |
| Plastic Surgery Within the Head and Neck | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 975506164 | Other | Michigan | Bc/bs Medicare Advantage |
| U33701 | Other | Michigan | Hap |
| 2856 | Other | Michigan | Golden Dental |
| 128744 | Other | Michigan | Care Choices |
| 975506164 | Other | Michigan | Bc/bs Of Mi |
| P00230001 | Other | Michigan | Medicare Provider |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Renaissance Oral Surgery Pc 20805 E 12 Mile Rd, Ste 110 Roseville, Michigan |
| Zip: | 48066 |
| Phone Number: | 586-778-2100 |
| Fax Number: | 586-778-2422 |
Patients can reach Renaissance Oral Surgery Pc at
20805 E 12 Mile Rd, Ste 110, Roseville, Michigan or can
call to book an appointment on 586-778-2100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.