| Alamat Oral & Maxillofacial Surgery Pllc | |
|
51685 Van Dyke Ave Shelby Township MI 48316 | |
| (586) 924-2038 | |
| (586) 323-1644 |
| Full Name | Alamat Oral & Maxillofacial Surgery Pllc |
|---|---|
| Speciality | Dentist |
| Location | 51685 Van Dyke Ave, Shelby Township, Michigan |
| Authorized Official Name and Position | Katie White (MANAGER) |
| Authorized Official Contact | 5869242038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamat Oral & Maxillofacial Surgery Pllc 51685 Van Dyke Ave Shelby Township MI 48316-4449 Ph: (586) 924-2038 | Alamat Oral & Maxillofacial Surgery Pllc 51685 Van Dyke Ave Shelby Township MI 48316 Ph: (586) 924-2038 |
| NPI Number | 1265955082 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 4789959776 |
|---|---|
| Medicare Enrollment ID | O20170929003257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265955082 | NPI | - | NPPES |
| 0503550 | Other | MI | BCBS MEDICAL PIN |
| 5501882 | Other | MI | BCBS DENTAL PIN |
| 0E06779 | Other | MI | BCBS GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Ihab S J Alamat |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1659310498 PECOS PAC ID: 7911053582 Enrollment ID: I20120830000192 |
| Provider Name | William S Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164815759 PECOS PAC ID: 6608165089 Enrollment ID: I20231227002338 |
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