DR. BRENT THOMAS ACCURSO (NPI# 1174653158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174653158 |
| Entity Type | Individual |
| Full Name | DR. BRENT THOMAS ACCURSO |
| Credential | DDS, MPH |
| Practice Address |
44405 Woodward Ave Pontiac MI 48341-5023 |
| Practice Telephone | 2488583190 |
| Practice Fax Number | 2488583148 |
| Mailing Telephone | 2488583190 |
| Mailing Fax Number | 2488583148 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
2901019383 | MI | Dental Providers |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2901019383 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
44405 WOODWARD AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598433 | Nicola Lynn Juzysta | Pharmacist | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2005-06-20 |
| 1598364911 | Briahnnon Long | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-10-19 |
| 1831705060 | Christopher Lopez | Emergency Medical Technician, Paramedic | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-09-22 |
| 1124645627 | Vikram Aiman Ayapati | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341 | 2020-06-30 |
| 1457978280 | Dilnaz Alam | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-27 |
| 1700402807 | Peter De Mola | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-24 |
| 1093331241 | Paul Young Mah | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1205452430 | Ali Khan | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1326664624 | Brandon Christopher Merta | Registered Nurse | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-22 |
| 1154946051 | Molly Elizabeth Dwenger | Dentist | 44405 Woodward Ave, Medical Eduation - H23, Pontiac, MI 48341-5023 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942468186 | Mid Michigan Oral Surgery | Dentist | 1040 Charlevoix Dr, Grand Ledge, MI 48837-2417 | 2008-05-23 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| 1235273152 | Oral and Maxillofacial Surgery Associates of Michigan, P.C. | Dentist | 32905 W 12 Mile Rd Ste 200, Farmington Hills, MI 48334-3344 | 2007-02-16 |
| 1548283559 | Oral and Maxillofacial Surgery Services, Plc | Dentist | 4500 Cascade Rd Se, Suite #208, Grand Rapids, MI 49546-3665 | 2006-07-25 |
| 1063440543 | Fredric L Bonine | Dentist | 6893 Grand River Rd, Brighton, MI 48114-9345 | 2006-06-30 |
| 1508805607 | Joseph Vincent Mauro | Dentist | 231 W. Lake Lansing Rd, Suite 200, East Lansing, MI 48823-8451 | 2006-06-05 |
| 1952397093 | Arvind Gulati | Dentist | 23655 Novi Rd Ste 103, Novi, MI 48375-5442 | 2005-09-23 |
| 1831194141 | Edwin J., Jr. Rennell | Dentist | 34441 8 Mile Rd, Ste 107, Livonia, MI 48152-4013 | 2005-06-15 |
| 1255333431 | Gary Harold Dwight | Dentist | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | 2005-06-01 |
| 1588900518 | Chia-cheng Li | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2012-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.