| Seven Oaks Professional, Pllc | |
|
3226 Hidden Timber Dr Ste B Lake Orion MI 48359-1598 | |
| (248) 393-1888 | |
| (248) 393-1890 |
| Full Name | Seven Oaks Professional, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3226 Hidden Timber Dr Ste B, Lake Orion, Michigan |
| Authorized Official Name and Position | Carolyn Suzanne John (ORAL SURGEON) |
| Authorized Official Contact | 2483931888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seven Oaks Professional, Pllc 3226 Hidden Timber Dr Ste B Lake Orion MI 48359-1598 Ph: (248) 393-1888 | Seven Oaks Professional, Pllc 3226 Hidden Timber Dr Ste B Lake Orion MI 48359-1598 Ph: (248) 393-1888 |
| NPI Number | 1558510537 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 8729141049 |
|---|---|
| Medicare Enrollment ID | O20090113000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558510537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901018814 (Michigan) | Primary |
| Provider Name | Carolyn S John |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083782254 PECOS PAC ID: 2163487455 Enrollment ID: I20041129000554 |
| Provider Name | Robert C John |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1598765604 PECOS PAC ID: 1557303765 Enrollment ID: I20050527000399 |
| Provider Name | Michael R Higginbotham |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1346505542 PECOS PAC ID: 0749400075 Enrollment ID: I20141008000980 |
Kids Tooth Team Lake Orion Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4749 S Baldwin Rd, Lake Orion, MI 48359 Phone: 810-252-6616 | |
Tina M Marshall Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2951 S Baldwin Rd, Lake Orion, MI 48360 Phone: 248-391-1200 Fax: 248-391-1201 | |
J A Mastromatteo Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 S Broadway St, Lake Orion, MI 48362 Phone: 248-693-1331 Fax: 248-693-1385 | |
Elite Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 S Lapeer Rd Ste A, Lake Orion, MI 48360 Phone: 616-502-2846 | |
Dehaan Othodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3027 S Baldwin Rd, Lake Orion, MI 48359 Phone: 248-391-4477 Fax: 248-391-4442 | |
John P. Blake Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 S Lapeer Rd Ste 201, Lake Orion, MI 48360 Phone: 248-693-5800 Fax: 248-693-6383 |