DOWNRIVER SURGERY CENTER, PC NPI 1023295474

Dentist (Oral and Maxillofacial Surgery) in Wyandotte, MI

NPI 1023295474 Organization Dentist Oral and Maxillofacial Surgery

About DOWNRIVER SURGERY CENTER, PC

Downriver Surgery Center, Pc is a provider established in Wyandotte, Michigan specializing in dentist (oral and maxillofacial surgery) . The NPI number of Downriver Surgery Center, Pc is 1023295474 and was assigned on January 2008. The practitioner's primary taxonomy code is 1223S0112X with license number 2901012910 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. Downriver Surgery Center, Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ronald Morris Dds (President)

A dentist like Downriver Surgery Center, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1023295474

Provider NameDOWNRIVER SURGERY CENTER, PC
Provider Location Address1823 FORT ST WYANDOTTE, MI 48192
Provider Mailing Address1823 FORT ST WYANDOTTE, MI 48192
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-29-2008
Last Update Date06-11-2008


Primary Taxonomy

Taxonomy Code1223S0112X
ClassificationDentist
TypeDental Providers
SpecializationOral and Maxillofacial Surgery
License No.2901012910
License StateMI
Taxonomy DescriptionThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Business Address

DOWNRIVER SURGERY CENTER, PC
1823 FORT ST
WYANDOTTE, MI
ZIP 48192
Phone: (734) 285-2550
Fax: (734) 285-5375

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Mailing Address

DOWNRIVER SURGERY CENTER, PC
1823 FORT ST
WYANDOTTE, MI
ZIP 48192
Phone: (734) 285-2550
Fax: (734) 285-5375



Authorized Official

Authorized Official NameDR. RONALD MORRIS DDS
Authorized Official TitlePRESIDENT
Authorized Official Phone(734) 285-2550

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
T82906MEDICARE UPIN (02)MI

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821077090DR. RONALD PATRICK MORRIS D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)1823 FORT ST
WYANDOTTE, MI 48192
(734) 285-2550

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.