# ORAL AND FACIAL SURGEONS OF MICHIGAN, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275640369
- **Authorized official:** MRS. EVELYN M DAVIS (BILLING DEPT./ACCOUNTS)
- **Authorized official phone:** (810) 632-0303

## Contact information

- **Practice address:** 11525 HIGHLAND RD, SUITE 23, HARTLAND, MI 48353-2726
- **Practice address phone:** (810) 632-0303
- **Practice address fax:** (810) 632-7305
- **Mailing address:** 11525 HIGHLAND RD, SUITE 23, HARTLAND, MI 48353-2726
- **Mailing address phone:** (810) 632-0303
- **Mailing address fax:** (810) 632-7305

## Taxonomy

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

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 07/21/2022