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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558622712

Ezio Novelli, DDS, MD is a Maxillofacial Surgery in Okemos, Michigan. Graduated from University of Michigan School of Dentistry in 2016, 10 years ago. Practices with Oral Surgery Associates of Lansing PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Trained at
University of Michigan School of Dentistry
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4201 Okemos Rd
Okemos, MI 48864
Phone: (517) 349-8383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 4301109597 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2901020703 (MI)

Record details

NPI number1558622712
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorYes
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 8, 2018
Mailing address4201 Okemos Rd, Okemos, MI 48864-3200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Graduated 2016 (10 years in practice)
Group practice Oral Surgery Associates Of Lansing Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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