| Ahmad-reza Noroozi, DDS | |
| 
					306 N Gould St, Owosso, MI 48867-2417  | |
| (989) 723-3882 | |
| Not Available | 
| Full Name | Ahmad-reza Noroozi | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - Oral And Maxillofacial Surgery | 
| Location | 306 N Gould St, Owosso, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467609719 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901019937 (Michigan) | Primary | 
| Entity Name | Great Lakes Oral Surgery And Implants Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902993819 PECOS PAC ID: 2567471980 Enrollment ID: O20060413000057  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ahmad-reza Noroozi, DDS 5417 Gateway Ctr, Flint, MI 48507-3980 Ph: (810) 424-0705  | Ahmad-reza Noroozi, DDS 306 N Gould St, Owosso, MI 48867-2417 Ph: (989) 723-3882  | 
Dr. Terrence Wayne Ryckman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 N Park St, Owosso, MI 48867 Phone: 989-723-8440  | |
Timothy Stephen Glowniak, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1083 E M 21, Owosso, MI 48867 Phone: 989-723-6124 Fax: 989-725-1376  | |
Dr. Bethany Chung,  Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 E Exchange St, Owosso, MI 48867 Phone: 989-723-4700  | |
Dr. Jeffrey L. Golombisky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1336 E M 21, Owosso, MI 48867 Phone: 989-723-8135 Fax: 989-723-8649  | |
Dr. Mark S Medel, DDS ORAL AND MAXILLO Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 N Shiawassee St, Owosso, MI 48867 Phone: 989-723-3882 Fax: 989-729-1723  | |
Phillip James Wolf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 N Park St, Owosso, MI 48867 Phone: 989-725-7825  |