# OAKLAND ORAL SURGERY ASSOCIATES

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

## Provider details

- **NPI number:** 1710127188
- **Authorized official:** DR. JACK F MOORES DDS (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (734) 427-3366

## Contact information

- **Practice address:** 31646 SCHOOLCRAFT RD, LIVONIA, MI 48150-1819
- **Practice address phone:** (734) 427-3366
- **Practice address fax:** (734) 427-0407
- **Mailing address:** 31646 SCHOOLCRAFT RD, LIVONIA, MI 48150-1819
- **Mailing address phone:** (734) 427-3366
- **Mailing address fax:** (734) 427-0407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | JM16423 | MI | Yes |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 02/25/2009