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DR. THOMAS RICHARD BOLTEN D.D.S., MD
NPI 1053545707
Dentist - Oral and Maxillofacial Surgery in West Bloomfield, MI

Active since May 11, 2009PECOS EnrolledAccepts Medicare Assignment
6022 W MAPLE RD STE 405, WEST BLOOMFIELD, MI 48322(248) 855-2006(248) 855-0571 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2025, Oct 12, 2018, Sep 24, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Thomas Richard Bolten D.d.s., Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS RICHARD BOLTEN D.D.S., MD (NPI 1053545707) is an individual oral and maxillofacial surgery provider in West Bloomfield, Michigan, licensed in Michigan (2901020176) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1053545707
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THOMAS RICHARD BOLTENCredential: D.D.S., MD
Location Address6022 W MAPLE RD STE 405West Bloomfield, MI 48322-4408
Mailing Address6022 W Maple Rd Ste 405West Bloomfield, MI 48322-4408 · (248) 855-2006 · Fax (248) 855-0571
Phone(248) 855-2006
Fax(248) 855-0571
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2014
Enumeration DateMay 11, 2009
Last NPPES UpdateJune 19, 20254 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1053545707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901020176
Definition
An oral and maxillofacial surgery dentist specialized in 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.
6022 W MAPLE RD STE 405, West Bloomfield, MI 48322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Richard Bolten D.d.s., Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901821875
PECOS Enrollment IDI20160909001025
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY STEPHEN TOPF DDS,FACS
Dentist (Oral and Maxillofacial Surgery)
6022 W MAPLE RD STE 405
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-2006
MICHIGAN OMS P C
Dentist (Oral and Maxillofacial Surgery)
6022 W MAPLE RD STE 405
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-2006
DR. BRIAN CLELAND MURPHY DDS
Dentist (Oral and Maxillofacial Surgery)
6022 W MAPLE RD STE 405
WEST BLOOMFIELD, MI 48322
Oakland County (248) 855-2006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Bolten's NPI number?

The NPI number for Thomas Bolten is 1053545707. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Thomas Bolten located?

Thomas Bolten practices at 6022 W Maple Rd Ste 405, West Bloomfield, MI 48322. The listed phone number is (248) 855-2006.

What is Thomas Bolten's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Thomas Bolten enrolled in Medicare?

Yes. Thomas Bolten is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Bolten accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Thomas Bolten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Bolten was last updated on June 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.