TRUFORM SURGERY, PLLC
NPI 1861250235
Oral & Maxillofacial Surgery in Brighton, MI

Active since March 11, 2024CLIA 23D2347182 · Waiver
6255 GRAND RIVER RD, BRIGHTON, MI 48114(810) 522-4001 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Truform Surgery, Pllc NPPES

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

TRUFORM SURGERY, PLLC (NPI 1861250235), doing business as Truform Surgery, is a healthcare organization registered as an oral & maxillofacial surgery in Brighton, Michigan and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through July 13, 2028 and lists Brittany Ky Eidson, Owning Surgeon, as its authorized official.

NPPES Registry Identity

NPI1861250235
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameTRUFORM SURGERY, PLLC
Location Address6255 GRAND RIVER RDBrighton, MI 48114-5323
Mailing Address6255 Grand River RdBrighton, MI 48114-5323 · (810) 522-4001
Organization SubpartNo
Authorized OfficialBrittany Ky EidsonOwning Surgeon · (810) 522-4001
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1861250235 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.
6255 GRAND RIVER RD, Brighton, MI 48114

Other Names 1

Doing Business AsTruform Surgery

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2347182

Tru Form Surgery · Brighton, MI
Active · expires Jul 13, 2028
CLIA Number23D2347182
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 14, 2026
Certificate Expiration DateJuly 13, 2028
Laboratory DirectorBrittany K. Eidson
Laboratory Phone(810) 522-4001
Laboratory LocationTru Form Surgery6255 Grand River Avenue, Brighton, MI 48114
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
6255 GRAND RIVER RD
BRIGHTON, MI 48114
Oral & Maxillofacial Surgery
6255 GRAND RIVER RD
BRIGHTON, MI 48114

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 Truform Surgery, PLLC's NPI number?

The NPI number for Truform Surgery, PLLC is 1861250235. It was assigned to this organization in the NPPES registry on March 11, 2024. The provider is doing business as TruForm Surgery.

Where is Truform Surgery, PLLC located?

Truform Surgery, PLLC is located at 6255 Grand River Rd, Brighton, MI 48114. The listed phone number is (810) 522-4001.

What is Truform Surgery, PLLC's specialty?

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

Does Truform Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2347182) is associated with this NPI, valid through July 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Truform Surgery, PLLC was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.