# PLYMOUTH ORAL & FACIAL SURGERY, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ann Arbor Oral & Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245253111
- **Authorized official:** DR. DAVID H STURTZ D.D.S. (SENIOR PARTNER)
- **Authorized official phone:** (734) 455-0710

## Contact information

- **Practice address:** 9416 S MAIN ST, SUITE 211, PLYMOUTH, MI 48170-4157
- **Practice address phone:** (734) 455-0710
- **Practice address fax:** (734) 455-4433
- **Mailing address:** 9416 S MAIN ST, SUITE 211, PLYMOUTH, MI 48170-4157
- **Mailing address phone:** (734) 455-0710
- **Mailing address fax:** (734) 455-4433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901011993 | MI | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901012852 | MI | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901014383 | MI | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901017635 | MI | — |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 03/17/2008