National Provider Identifier Database

LEGACY ORAL AND FACIAL SURGERY CENTER PC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

LEGACY ORAL AND FACIAL SURGERY CENTER PC
2521 JACKSON AVE
ANN ARBOR, MI48103-3818
Phone: 734-210-0677
Fax: 734-210-1273
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for LEGACY ORAL AND FACIAL SURGERY CENTER PC

NPI Number 1841862232
Legal business name
LBN
LEGACY ORAL AND FACIAL SURGERY CENTER PC
Authorized official DALBERT FEAR - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/14/2021
Last updated 07/14/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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