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SOUTH SHORE OMS PC
NPI 1861122871
Clinic/Center - Oral and Maxillofacial Surgery in Brownstown Twp, MI

Active since June 13, 2022
19249 ALLEN RD, BROWNSTOWN TWP, MI 48183(734) 479-2990(734) 479-2991 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Shore Oms Pc NPPES

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

SOUTH SHORE OMS PC (NPI 1861122871) is a healthcare organization registered as an oral and maxillofacial surgery in Brownstown Twp, Michigan and active in the NPI registry since June 2022. The organization lists Kelly Doherty, Administrative, as its authorized official.

NPPES Registry Identity

NPI1861122871
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameSOUTH SHORE OMS PC
Location Address19249 ALLEN RDBrownstown Twp, MI 48183-1189
Mailing Address19249 Allen RdBrownstown Twp, MI 48183-1189 · (734) 479-2990
Phone(734) 479-2990
Fax(734) 479-2991
Organization SubpartNo
Authorized OfficialKelly DohertyAdministrative · (734) 479-2990
Enumeration DateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1861122871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center 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.
19249 ALLEN RD, Brownstown Twp, MI 48183
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DENCAP Dental Plans, Inc.Insurance ›

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. BENJAMIN LAWRENCE HANSON DDS
Dentist (General Practice)
19249 ALLEN RD
BROWNSTOWN TWP, MI 48183
Wayne County (734) 615-8606
DR. PAUL S HO DDS
Dentist (Oral and Maxillofacial Surgery)
19249 ALLEN RD
BROWNSTOWN TWP, MI 48183
Wayne County (734) 479-2990
KYLE JAKOB THORSRUD DDS
Dentist (Oral and Maxillofacial Surgery)
19249 ALLEN RD
BROWNSTOWN TWP, MI 48183
Wayne County (734) 479-2990

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 South Shore Oms PC's NPI number?

The NPI number for South Shore Oms PC is 1861122871. It was assigned to this organization in the NPPES registry on June 13, 2022.

Where is South Shore Oms PC located?

South Shore Oms PC is located at 19249 Allen Rd, Brownstown Twp, MI 48183. The listed phone number is (734) 479-2990.

What is South Shore Oms PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

What insurance does South Shore Oms PC accept?

Health plans from DENCAP Dental Plans, Inc list South Shore Oms 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 South Shore Oms PC was last updated on June 13, 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.