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Organization
METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C.
Active
Organization
METROPOLITAN ORAL AND MAXILLOFACIAL SURGERY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE THOMAS GOFFAS D.D.S., M.D., M.S. (SURGEON)
(810) 733-5570
Entity
Organization
Contact information
Practice address
5080 W BRISTOL RD, FLINT, MI 48507-2923
(810) 733-5570
(810) 733-0221
Mailing address
5080 W BRISTOL RD, FLINT, MI 48507-2923
(810) 733-5570
(810) 733-0221
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0986425
HEALTH PLUS DR. GOFFAS
MI
01
—
0986834
HEALTH PLUS DR. HYDE
MI
01
—
1009797
DR. HYDE GLOBAL
MI
01
—
1310702
UNITED CONCORDIA
MI
01
—
2901014309
DENTAMAX DR. HYDE
MI
01
—
2901014708
DENTAMAX DR. GOFFAS
MI
01
—
D143090
BCBS DENTAL DR. HYDE
MI
01
—
D147080
BCBS DENTAL DR. GOFFAS
MI
01
—
DB0981
MEDICARE RAILROAD
MI
01
—
P59769
DR. HYDE BCN
MI
01
—
S1D8003860
BCBS DENTAL
MI
Enumeration date
01/23/2007
Last updated
03/26/2008
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