| Lansing Oral Surgery | |
|
4305 Five Oaks Dr Lansing MI 48911-4214 | |
| (517) 699-2700 | |
| (517) 708-8527 |
| Full Name | Lansing Oral Surgery |
|---|---|
| Speciality | Dentist |
| Location | 4305 Five Oaks Dr, Lansing, Michigan |
| Authorized Official Name and Position | William Anthony Schiro (OWNER) |
| Authorized Official Contact | 5176992700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansing Oral Surgery 4305 Five Oaks Dr Lansing MI 48911-4214 Ph: (517) 699-2700 | Lansing Oral Surgery 4305 Five Oaks Dr Lansing MI 48911-4214 Ph: (517) 699-2700 |
| NPI Number | 1831465871 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 6709862303 |
|---|---|
| Medicare Enrollment ID | O20040625000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831465871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | WS013096 (Michigan) | Primary |
| Provider Name | William A Schiro |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1255385704 PECOS PAC ID: 2860489929 Enrollment ID: I20040430000118 |
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