| Kalamazoo Oral & Maxillofacial Surgery, P.c. | |
|
3801 Glenkerry Ct Portage MI 49024-0718 | |
| (269) 323-1527 | |
| (269) 323-1670 |
| Full Name | Kalamazoo Oral & Maxillofacial Surgery, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3801 Glenkerry Ct, Portage, Michigan |
| Authorized Official Name and Position | Nancy Simonelli (OFFICE MANAGER) |
| Authorized Official Contact | 2693231527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo Oral & Maxillofacial Surgery, P.c. 3801 Glenkerry Ct Portage MI 49024-0718 Ph: (269) 323-1527 | Kalamazoo Oral & Maxillofacial Surgery, P.c. 3801 Glenkerry Ct Portage MI 49024-0718 Ph: (269) 323-1527 |
| NPI Number | 1265522262 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 06/02/2015 |
| Medicare PECOS PAC ID | 5092994384 |
|---|---|
| Medicare Enrollment ID | O20110119000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265522262 | NPI | - | NPPES |
| 1669433793 | Other | TYPE 1 NPI T. SLACK | |
| 1376705038 | Other | TYPE 1 NPI D. WILSON | |
| 1164416194 | Other | TYPE 1 NPI K. MORSE | |
| 1952361594 | Other | TYPE 1 NPI C. KANAR | |
| 1780645804 | Other | TYPE 1 NPI J. GISSAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Kevin D Morse |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164416194 PECOS PAC ID: 1658550975 Enrollment ID: I20110119000456 |
| Provider Name | Christian L Kanar |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952361594 PECOS PAC ID: 0749469047 Enrollment ID: I20110121000520 |
| Provider Name | David Wilson |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1376705038 PECOS PAC ID: 0042525271 Enrollment ID: I20150818004444 |
| Provider Name | Eric Thomas Safranski |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992151682 PECOS PAC ID: 9032401864 Enrollment ID: I20200714000520 |
| Provider Name | Michael Jeffrey Harrison |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972006914 PECOS PAC ID: 6103175807 Enrollment ID: I20221004003027 |
Centre Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 W Centre Ave, Portage, MI 49024 Phone: 269-323-3128 Fax: 269-323-2005 | |
Johnson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1617 E Milham Ave, Portage, MI 49002 Phone: 269-381-7250 Fax: 269-381-7260 | |
Dental Dreams Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 S Westnedge Ave, Portage, MI 49002 Phone: 269-382-6656 | |
Scott Ellard Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5835 Oakland Drive, Portage, MI 49024 Phone: 269-329-1880 Fax: 269-329-1886 | |
Pei Wei Linda Lin Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 S Westnedge Ave, Portage, MI 49002 Phone: 269-329-7900 Fax: 269-329-1372 | |
Dan J Vandermeulen Dds Ms & Ronald W Reoch Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8191 Moorsbridge Rd, Ste A, Portage, MI 49024 Phone: 269-323-1022 Fax: 269-323-0702 | |
West Wind Family &cosmetic Denistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1617 E Milham Ave, Portage, MI 49002 Phone: 269-381-7770 Fax: 269-381-7790 |