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MT. PLEASANT ORAL & MAXILLOFACIAL SURGERY
NPI 1619964715
Oral & Maxillofacial Surgery in Midland, MI

Active since October 04, 2005
6112 MERLIN CT, MIDLAND, MI 48640(989) 839-9979(989) 839-9553 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2020, Jun 22, 2018 (2 updates tracked since 2018).

About Mt. Pleasant Oral & Maxillofacial Surgery NPPES

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

MT. PLEASANT ORAL & MAXILLOFACIAL SURGERY (NPI 1619964715) is a healthcare organization registered as an oral & maxillofacial surgery in Midland, Michigan and active in the NPI registry since October 2005. The organization lists Shianne Bowers, Financial Dept, as its authorized official.

NPPES Registry Identity

NPI1619964715
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameMIDLAND ORAL & MAXILLOFACIAL SURGERY P.C.
Location Address6112 MERLIN CTMidland, MI 48640
Mailing Address6112 Merlin CtMidland, MI 48640-7358 · (989) 839-9979 · Fax (989) 839-9553
Phone(989) 839-9979
Fax(989) 839-9553
Organization SubpartNo
Authorized OfficialShianne BowersFinancial Dept · (989) 839-9979
Enumeration DateOctober 4, 2005
Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration
✔ NPI 1619964715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
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.
6112 MERLIN CT, Midland, MI 48640
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Other Names 1

Other NameMt. Pleasant Oral & Maxillofacial Surgery

Other Identifiers 12

Medicaid3487133MI
Medicaid4274317MI
Medicaid2847912MI
Medicaid4297311MI
Medicaid2993779MI
Medicaid3487124MI
Medicaid426977MI
Medicaid4285455MI
Medicaid4263986MI
Medicaid4274282MI
Medicaid4274291MI
Medicaid4274308MI

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mt. Pleasant Oral & Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mt. Pleasant Oral & Maxillofacial Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Afshar, DDS, MD
Oral Surgery
NPI 1659314888
6112 MERLIN CT
Midland, MI 48640
(989) 839-9979
✔ PECOS5.8 mi

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 Midland Oral & Maxillofacial Surgery P.C.'s NPI number?

The NPI number for Midland Oral & Maxillofacial Surgery P.C. is 1619964715. It was assigned to this organization in the NPPES registry on October 4, 2005. The provider is also known as Mt. Pleasant Oral & Maxillofacial Surgery.

Where is Midland Oral & Maxillofacial Surgery P.C. located?

Midland Oral & Maxillofacial Surgery P.C. is located at 6112 Merlin Ct, Midland, MI 48640. The listed phone number is (989) 839-9979.

What is Midland Oral & Maxillofacial Surgery P.C.'s specialty?

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

Is Midland Oral & Maxillofacial Surgery P.C. enrolled in Medicare?

Yes. Midland Oral & Maxillofacial Surgery P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midland Oral & Maxillofacial Surgery P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Midland Oral & Maxillofacial Surgery P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Midland Oral & Maxillofacial Surgery P.C. was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.