South Shore Oms PC
South Shore Oms PC is an Oral and Maxillofacial Surgery Clinic/Center in Brownstown Twp, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
19249 Allen RdBrownstown Twp, MI 48183-1189
Phone: (734) 479-2990
Fax: (734) 479-2991
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X |
|---|
Record details
| NPI number | 1861122871 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Doherty — Administrative · (734) 479-2990 |
| NPI enumerated | June 13, 2022 |
| Last updated in NPPES | June 13, 2022 |
| Certification date | June 13, 2022 |
| Mailing address | 19249 Allen Rd, Brownstown Twp, MI 48183-1189 |