Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Detroit Oral Surgery Specialists PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1477395119

Detroit Oral Surgery Specialists PLLC is an Oral and Maxillofacial Surgery (Dentist) in Detroit, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13874 Grand River Ave
Detroit, MI 48227-3123
Phone: (313) 834-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1477395119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Wolicki — Accountant · (586) 558-8004
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address27201 Ryan Rd, Warren, MI 48092-5127

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