| Renaissance Oral Surgery Pc | |
|
20805 E 12 Mile Rd Ste 110 Roseville MI 48066 | |
| (586) 778-2100 | |
| (586) 778-2422 |
| Full Name | Renaissance Oral Surgery Pc |
|---|---|
| Speciality | Dentist |
| Location | 20805 E 12 Mile Rd, Roseville, Michigan |
| Authorized Official Name and Position | Henry Bryan (PRESIDENT) |
| Authorized Official Contact | 5867782100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Oral Surgery Pc 20805 E 12 Mile Rd Ste 110 Roseville MI 48066 Ph: (586) 778-2100 | Renaissance Oral Surgery Pc 20805 E 12 Mile Rd Ste 110 Roseville MI 48066 Ph: (586) 778-2100 |
| NPI Number | 1235325499 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 10/01/2013 |
| Medicare PECOS PAC ID | 8224098363 |
|---|---|
| Medicare Enrollment ID | O20041013001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235325499 | NPI | - | NPPES |
| 975506164 | Other | MI | BC/BS MEDICARE ADVANTAGE |
| U33701 | Other | MI | HAP |
| 2856 | Other | MI | GOLDEN DENTAL |
| 128744 | Other | MI | CARE CHOICES |
| 975506164 | Other | MI | BC/BS OF MI |
| P00230001 | Other | MI | MEDICARE PROVIDER |
| Provider Name | Henry G Bryan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1992739379 PECOS PAC ID: 1658331798 Enrollment ID: I20041013001139 |
Dentalworks Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32123 Gratiot Ave, Roseville, MI 48066 Phone: 586-296-1943 | |
Donn Hubbard D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16216 E 13 Mile Rd, Roseville, MI 48066 Phone: 586-771-9414 Fax: 586-772-3468 | |
Integrated Health Choices Roseville Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25631 Gratiot Ave, Roseville, MI 48066 Phone: 586-775-3312 Fax: 586-775-4780 | |
Convenient Rv Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19551 E. 10 Mile Rd, Roseville, MI 48066 Phone: 586-775-6770 Fax: 586-775-6855 | |
Carl Papa D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21055 E 12 Mile Rd, Roseville, MI 48066 Phone: 586-772-0100 Fax: 586-772-3128 | |
Integrated Health Choices Roseville P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25631 Gratiot Ave, Roseville, MI 48066 Phone: 586-775-3312 Fax: 586-775-4780 |