ORAL AND FACIAL SURGEONS OF MICHIGAN, PC
NPI 1275640369
Dentist - Oral and Maxillofacial Surgery in Hartland, MI
About Oral And Facial Surgeons Of Michigan, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORAL AND FACIAL SURGEONS OF MICHIGAN, PC (NPI 1275640369) is a healthcare organization registered as an oral and maxillofacial surgery in Hartland, Michigan and active in the NPI registry since August 2006. The organization lists Evelyn M Davis, Billing Dept./accounts, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oral And Facial Surgeons Of Michigan, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Oral And Facial Surgeons Of Michigan, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Oral And Facial Surgeons Of Michigan, PC's NPI number?
The NPI number for Oral And Facial Surgeons Of Michigan, PC is 1275640369. It was assigned to this organization in the NPPES registry on August 24, 2006.
Where is Oral And Facial Surgeons Of Michigan, PC located?
Oral And Facial Surgeons Of Michigan, PC is located at 11525 Highland Rd Suite 23, Hartland, MI 48353. The listed phone number is (810) 632-0303.
What is Oral And Facial Surgeons Of Michigan, PC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Oral And Facial Surgeons Of Michigan, PC enrolled in Medicare?
Yes. Oral And Facial Surgeons Of Michigan, PC is registered in the Medicare PECOS enrollment system.
When is Oral And Facial Surgeons Of Michigan, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Oral And Facial Surgeons Of Michigan, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Oral And Facial Surgeons Of Michigan, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (5) and Maxillofacial Surgery (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Oral And Facial Surgeons Of Michigan, PC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Oral And Facial Surgeons Of Michigan, PC 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 Oral And Facial Surgeons Of Michigan, PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Oral And Facial Surgeons Of Michigan, Pc · NPI 1275640369
Oral and Maxillofacial Surgery organization in Hartland, Michigan. Organization record, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1275640369 (Entity type: Organization)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Evelyn Davis, BILLING DEPT./ACCOUNTS
## Practice location
- **Address:** 11525 HIGHLAND RD, SUITE 23, Hartland, MI 48353-2726
- **Phone:** (810) 632-0303 · **Fax:** (810) 632-7305
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Oral Surgery (5), Maxillofacial Surgery (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Other 190F37120 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1275640369) · Data from the CMS NPPES public registry.