Renaissance Oral Surgery PC
NPI 1235325499 · Oral and Maxillofacial Surgery (Dentist) · Roseville, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renaissance Oral Surgery PC is a Oral and Maxillofacial Surgery (Dentist) organization in Roseville, MI (NPI 1235325499).
Provider details
- NPI number
- 1235325499
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Henry Bryan, President(586) 778-2100
Specialties & taxonomies
Dental Providers
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-21
- Last updated
- 2013-10-01
Frequently asked questions
- What is Renaissance Oral Surgery PC's NPI number?
- Renaissance Oral Surgery PC's National Provider Identifier (NPI) is 1235325499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Oral Surgery PC?
- Renaissance Oral Surgery PC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Renaissance Oral Surgery PC located?
- Renaissance Oral Surgery PC's practice location on file with NPPES is 20805 E 12 Mile Rd, Roseville, MI 48066.
- What is Renaissance Oral Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Renaissance Oral Surgery PC is (586) 778-2100.
- Does Renaissance Oral Surgery PC accept Medicare?
- Renaissance Oral Surgery PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Renaissance Oral Surgery PC?
- The authorized official listed on Renaissance Oral Surgery PC's NPPES record is Henry Bryan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Oral Surgery PC's NPI active?
- Yes — Renaissance Oral Surgery PC's NPI (1235325499) is active in the NPPES registry as of the last update on 2013-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.