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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