DR. SHANE T. CITRON D.D.S., M.D.
NPI 1588979009
Oral & Maxillofacial Surgery in Grand Blanc, MI

Active since August 09, 2010Opted out of Medicare · through Jan 1, 2027
5090 E HILL RD, GRAND BLANC, MI 48439(810) 445-9970(810) 445-9971 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shane T. Citron D.d.s., M.d. NPPES

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

DR. SHANE T. CITRON D.D.S., M.D. (NPI 1588979009) is an individual oral & maxillofacial surgery provider in Grand Blanc, Michigan, licensed in Michigan (2901017389) and active in the NPI registry since August 2010. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1588979009
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. SHANE T. CITRONCredential: D.D.S., M.D.
Location Address5090 E HILL RDGrand Blanc, MI 48439-7637
Mailing Address5090 E Hill RdGrand Blanc, MI 48439-7637 · (810) 445-9970 · Fax (810) 445-9971
Fax(810) 445-9971
Sole ProprietorYes
Enumeration DateAugust 9, 2010
Last NPPES UpdateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
NPI 1588979009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses Licensed in MI · 2901017389 Licensed in NH · 03796
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

5090 E HILL RD, Grand Blanc, MI 48439

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Shane T. Citron D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Oral & Maxillofacial Surgery
5090 E HILL RD
GRAND BLANC, MI 48439
Dentist (Oral and Maxillofacial Surgery)
5090 E HILL RD
GRAND BLANC, MI 48439
Dentist (Oral and Maxillofacial Surgery)
5090 E HILL RD
GRAND BLANC, MI 48439
Dentist (Oral and Maxillofacial Surgery)
5090 E HILL RD
GRAND BLANC, MI 48439

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 Shane Citron's NPI number?

The NPI number for Shane Citron is 1588979009. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Shane Citron located?

Shane Citron practices at 5090 E Hill Rd, Grand Blanc, MI 48439. The listed phone number is (810) 445-9970.

What is Shane Citron's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Shane Citron enrolled in Medicare?

No. Shane Citron has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shane Citron accept?

Health plans from Florida Combined Life list Shane Citron 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 Shane Citron was last updated on February 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.