# NORTHVILLE ORAL &FACIAL SURGERY CENTER

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

## Provider details

- **NPI number:** 1861729261
- **Authorized official:** DR. PETER TIMOTHY BLISS DMD (PRESIDENT)
- **Authorized official phone:** (248) 344-4224

## Contact information

- **Practice address:** 430 N CENTER ST, NORTHVILLE, MI 48167-1224
- **Practice address phone:** (248) 344-4224
- **Practice address fax:** (248) 344-4883
- **Mailing address:** 430 N CENTER ST, NORTHVILLE, MI 48167-1224
- **Mailing address phone:** (248) 344-4224
- **Mailing address fax:** (248) 344-4883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D166720 | MI | Yes |

## Other

- **Enumeration date:** 11/06/2009
- **Last updated:** 11/06/2009