Dr. Thomas Richard Bolten
Oral and Maxillofacial Surgeon
6022 W Maple Rd Ste 405
West Bloomfield
, Michigan 48322-4408
Dr. Thomas Richard Bolten
Oral and Maxillofacial Surgeon
6022 W Maple Rd Ste 405
West Bloomfield
, Michigan 48322-4408
(248) 855-0571
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Thomas Richard Bolten
- 6022 W Maple Rd Ste 405
- West Bloomfield, MI
- Zip : 48322-4408
- Fax : (248) 855-0571
- Phone : (248) 855-2006
Second Address
- Dr. Thomas Richard Bolten
- 6022 W Maple Rd Ste 405
- West Bloomfield, MI
- Zip : 48322-4408
- Fax : (248) 855-0571
- Phone : (248) 855-2006
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2901020176 | MI |
National Provider Identifier
| NPI | 1053545707 |
|---|---|
| Provider Name | Dr. Thomas Richard Bolten |
| First Address | West Bloomfield, MI 48322-4408 |
| Second Address | West Bloomfield, MI 48322-4408 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2009 |
| Last Update Date | 12/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.