Organization
ALAMAT ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE WHITE R.N. (MANAGER)
(586) 924-2038
Entity
Organization
Contact information
Practice address
51685 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316
(586) 924-2038
(586) 323-1644
Mailing address
51685 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48316-4449
(586) 924-2038
(586) 323-1644
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0503550
BCBS MEDICAL PIN
MI
01
—
0E06779
BCBS GROUP PIN
MI
01
—
5501882
BCBS DENTAL PIN
MI
Enumeration date
07/24/2017
Last updated
09/21/2023
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