Organization
MICHIGAN ORAL AND MAXILLOFACIAL SURGEONS, P.C.
Active
Other names
Doctors Dalbert W. Fear, Jr, Roger P. Hitchcock & William D. Baxter,Jr
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH TYLER SEMINARA (CREDENTIALING SPECIALIST)
(734) 459-0326
Entity
Organization
Contact information
Practice address
2058 S STATE ST STE 100, ANN ARBOR, MI 48104-4787
(734) 769-5302
(734) 769-8710
Mailing address
2058 S STATE ST, SUITE 100, ANN ARBOR, MI 48104-4786
(734) 769-6524
(734) 769-6743
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970H17622
BCBS GROUP NUMBER
MI
01
—
J801610
BCBS DENTAL GROUP #
MI
Enumeration date
06/07/2006
Last updated
09/02/2025
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