| Michigan Oms P C | |
|
6022 W Maple Rd Ste 405 West Bloomfield MI 48322-4408 | |
| (248) 855-2006 | |
| (248) 855-0571 |
| Full Name | Michigan Oms P C |
|---|---|
| Speciality | Dentist |
| Location | 6022 W Maple Rd Ste 405, West Bloomfield, Michigan |
| Authorized Official Name and Position | Nicholas J Bournias (PRESIDENT) |
| Authorized Official Contact | 5862289070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Oms P C 6022 W Maple Rd Ste 405 West Bloomfield MI 48322-4408 Ph: (248) 855-2006 | Michigan Oms P C 6022 W Maple Rd Ste 405 West Bloomfield MI 48322-4408 Ph: (248) 855-2006 |
| NPI Number | 1801906458 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 01/17/2024 |
| Medicare PECOS PAC ID | 9739084559 |
|---|---|
| Medicare Enrollment ID | O20031204000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801906458 | NPI | - | NPPES |
| 2901020355 | Other | MI | STATE LICENSE NUMBER |
| 3159052 | Medicaid | MI | |
| 4067429 | Medicaid | MI | |
| 2990516 | Medicaid | MI | |
| 2990561 | Medicaid | MI | |
| 2773480 | Medicaid | MI | |
| 970F31085 | Other | MI | GROUP NUMBER BCBSM |
| NB015573 | Other | MI | STATE LICENSE NUMBER |
| 1021382 | Medicaid | MI | |
| 3203473 | Medicaid | MI | |
| 2990552 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Michigan) | Primary |
| Provider Name | Nicholas J Bournias |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1144202045 PECOS PAC ID: 5496650111 Enrollment ID: I20031218000245 |
| Provider Name | Jeffrey S Topf |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1396727293 PECOS PAC ID: 9234034950 Enrollment ID: I20031218000266 |
| Provider Name | Thomas Richard Bolten |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053545707 PECOS PAC ID: 6901821875 Enrollment ID: I20160909001025 |
Edward R. Essayan Dds, Pc (professional Corporation) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6161 Orchard Lake Rd, Suite 200, West Bloomfield, MI 48322 Phone: 248-851-3767 Fax: 248-865-9455 | |
Dental House - West Bloomfield Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6595 Orchard Lake Rd Ste A-160, West Bloomfield, MI 48322 Phone: 734-999-9909 | |
West Bloomfield Center For Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5807 W Maple Rd Ste 181, West Bloomfield, MI 48322 Phone: 247-487-0160 Fax: 248-487-0165 | |
Lakeview Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7010 Pontiac Trl, West Bloomfield, MI 48323 Phone: 248-363-3304 Fax: 248-363-0814 | |
Caring Smiles Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6900 Orchard Lake Rd Ste 211, West Bloomfield, MI 48322 Phone: 248-973-8788 | |
Dental Arts Of Maple Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6525 West Maple Road, Suite B, West Bloomfield, MI 48322 Phone: 248-469-3268 | |
Superior Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6280 Orchard Lake Rd, West Bloomfield, MI 48322 Phone: 248-862-6904 Fax: 248-455-7071 |