DR. GREGORY M NIELSEN (NPI# 1518949742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518949742 |
| Entity Type | Individual |
| Full Name | DR. GREGORY M NIELSEN |
| Credential | DDS |
| Practice Address |
26111 Woodward Ave Huntington Woods MI 48070-1330 |
| Practice Telephone | 2485478833 |
| Practice Fax Number | 2485478836 |
| Mailing Telephone | 2485478833 |
| Mailing Fax Number | 2485478836 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 2901014950 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2915413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578600318 | Gregory James Nielsen | Dentist | 2225 Broadwater Ave Ste A, Billings, MT 59102-4707 | 2007-01-31 |
| 1851910087 | Gregory K Nielsen | Student in an Organized Health Care Education/Training Program | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-04-08 |
| 1629606181 | Gregory Nielsen | Student in an Organized Health Care Education/Training Program | 1215 Lee St # 800740, Charlottesville, VA 22908-0816 | 2020-03-31 |
| 1033277199 | Gregory Lawrence Nielsen | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84604 | 2006-12-04 |
| Street Address |
26111 WOODWARD AVE |
| City | HUNTINGTON WOODS |
| State | MI |
| Zip Code | 48070-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306047600 | The Huntington Group, P.C. | Dentist | 26111 Woodward Ave, Huntington Woods, MI 48070-1330 | 2007-05-31 |
| 1548208010 | The Huntington Group, P.C. | Dentist | 26111 Woodward Ave, Huntington Woods, MI 48070-1330 | 2006-06-04 |
| 1447233663 | Michael E Heath | Oral & Maxillofacial Surgery | 26111 Woodward Ave, Huntington Woods, MI 48070-1330 | 2005-11-22 |
| 1740263086 | David M Rombach | Oral & Maxillofacial Surgery | 26111 Woodward Ave, Huntington Woods, MI 48070-1330 | 2005-11-21 |
| 1972585958 | John V Gaul | Oral & Maxillofacial Surgery | 26111 Woodward Ave, Huntington Woods, MI 48070 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286237 | Intrinsic Dental Care Plc | Dentist | 26711 Woodward Ave., Suite 101, Huntington Woods, MI 48070 | 2019-07-10 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1396958336 | Matthew James Smith | Dentist | 26711 Woodward Avenue, Suite 107, Huntington Woods, MI 48070 | 2007-05-07 |
| 1467664177 | Barry Chesterman | Physical Therapist | 13132 Ludlow Ave, Huntington Woods, MI 48070 | 2007-05-04 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1194802314 | Russell Charles Bowman | Dentist | 26635 Woodward, Huntington Woods, MI 48070 | 2006-11-01 |
| 1508951104 | Chen Cao | Dentist | 26789 Woodward Ave., Suite 203, Huntington Woods, MI 48070 | 2006-10-03 |
| 1235162231 | Ira Joseph Schaer | Psychologist | 26789 Woodward, Suite 211, Huntington Woods, MI 48070 | 2006-07-10 |
| 1962475236 | Lisa Anne Fulgenzi | Internal Medicine | 26711 Woodward Ave Ste 103, Huntington Woods, MI 48070 | 2006-02-08 |
| 1861478612 | Nancy M Mannisto | Pediatrics | 26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 | 2005-12-22 |
| Find all providers in zip 48070 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447233663 | Michael E Heath | Oral & Maxillofacial Surgery | 26111 Woodward Ave, Huntington Woods, MI 48070-1330 | 2005-11-22 |
| 1740263086 | David M Rombach | Oral & Maxillofacial Surgery | 26111 Woodward Ave, Huntington Woods, MI 48070-1330 | 2005-11-21 |
| 1972585958 | John V Gaul | Oral & Maxillofacial Surgery | 26111 Woodward Ave, Huntington Woods, MI 48070 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1881792786 | James W Lepczyk | Oral & Maxillofacial Surgery | 31100 Telegraph, Suite 100, Bingham Farms, MI 48025 | 2006-09-21 |
| 1558472332 | Richard F Scott Dds Ms PC | Oral & Maxillofacial Surgery | 203 S Zeeb Road, Suite 101, Ann Arbor, MI 48103 | 2006-08-31 |
| 1922115633 | Nick Leone | Oral & Maxillofacial Surgery | 28018 Harper Avenue, St Clair Shores, MI 48081 | 2006-08-25 |
| 1598772626 | Oral & Maxillofacial Surgery Associates of Western Michigan Plc | Oral & Maxillofacial Surgery | 2140 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4785 | 2006-08-02 |
| 1831113125 | Jeffery Mcfadden | Oral & Maxillofacial Surgery | 33111 W. Seven Mile Rd., Livonia, MI 48152 | 2006-07-27 |
| 1215950100 | William S Bloom | Oral & Maxillofacial Surgery | 11300 East Thirteen Mile Road, Warren, MI 48093 | 2006-07-25 |
| 1609809250 | Richard Peter Bartling | Oral & Maxillofacial Surgery | 3011 Abigail Ln, Midland, MI 48640 | 2006-07-08 |
| 1710949953 | Robert Harry Burke | Oral & Maxillofacial Surgery | 2260 S Huron Pkwy, Ann Arbor, MI 48104-5151 | 2006-04-04 |
| 1497728380 | Brian H Cohen | Oral & Maxillofacial Surgery | 2120 Monroe St, Dearborn, MI 48124-2943 | 2006-02-10 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON WOODS |
| Zip Code | 48070 |
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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.