Organization
HYDE ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J HYDE D.M.D. (PHYSICIAN/OWNER)
(989) 797-1400
Entity
Organization
Contact information
Practice address
5560 GRATIOT RD, SUITE 1, SAGINAW, MI 48638-6091
(989) 797-1400
(989) 797-4077
Mailing address
5560 GRATIOT RD, SUITE 1, SAGINAW, MI 48638-6091
(989) 797-1400
(989) 797-4077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
TH014309
MI
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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