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

Renaissance Oral Surgery PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1235325499

Renaissance Oral Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Roseville, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20805 E 12 Mile Rd Ste 110
Roseville, MI 48066
Phone: (586) 778-2100
Fax: (586) 778-2422
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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
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X

Record details

NPI number1235325499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Bryan — President · (586) 778-2100
NPI enumeratedSeptember 21, 2007
Last updated in NPPESOctober 1, 2013
Mailing address20805 E 12 Mile Rd, Ste 110, Roseville, MI 48066

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