CAROLYN SUZANNE JOHN DDS
NPI 1083782254
Dentist - Oral and Maxillofacial Surgery in Lake Orion, MI

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
3226 HIDDEN TIMBER DR STE B, LAKE ORION, MI 48359(248) 393-1888(248) 393-1890 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carolyn Suzanne John Dds NPPES

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

CAROLYN SUZANNE JOHN DDS (NPI 1083782254) is an individual oral and maxillofacial surgery provider in Lake Orion, Michigan, licensed in Michigan (2901018814) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1083782254
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameCAROLYN SUZANNE JOHNCredential: DDS
Location Address3226 HIDDEN TIMBER DR STE BLake Orion, MI 48359-1598
Mailing Address3226 Hidden Timber Dr Ste BLake Orion, MI 48359-1598 · (248) 393-1888 · Fax (248) 393-1890
Fax(248) 393-1890
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 4, 2006
Last NPPES UpdateMay 13, 2013
NPI 1083782254 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 · 2901018814
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.

3226 HIDDEN TIMBER DR STE B, Lake Orion, MI 48359

Other Identifiers 1

Medicare UPINV02462

Accepted 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

Carolyn Suzanne John Dds 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 ID2163487455
PECOS Enrollment IDI20041129000554
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 48359 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

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

Dentist (Oral and Maxillofacial Surgery)
3226 HIDDEN TIMBER DR STE B
LAKE ORION, MI 48359

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083782254, enumerated as an "individual" on December 04, 2006.

The provider is located at 3226 HIDDEN TIMBER DR STE B LAKE ORION, MI 48359 and the phone number is (248) 393-1888.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.