Renaissance Oral Surgery Pc is a Oral and Maxillofacial Dental 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 deals with 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.
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 and 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 and Maxillofacial Surgery
1235325499
J.l. Colon, Dds, Pllc
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.