SPECIALIZED SURGEONS LLC – NPI #1528072303
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

SPECIALIZED SURGEONS LLC is an oral & maxillofacial surgeon located in LIVONIA, MI. NPPES has assigned the NPI number 1528072303 to SPECIALIZED SURGEONS LLC on July 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 18 years ago on Nov 11, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECIALIZED SURGEONS LLC below.

NPI Profile for
SPECIALIZED SURGEONS LLC

NPI Number
1528072303
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECIALIZED SURGEONS LLC
Primary location
33111 W. SEVEN MILE RD.
LIVONIA, MI 48152
Phone: (248) 888-8383 Fax: (348) 888-0834
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHY STACEY
OFFICE MANAGER
Phone: (248) 888-8383
Updated
Identifiers

Identifiers for SPECIALIZED SURGEONS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD OF MIMIOH20333
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.