Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Renaissance Oral Surgery PC

Q: What type of organization is Renaissance Oral Surgery PC?

Renaissance Oral Surgery PC is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).

Oral and Maxillofacial Surgery (Dentist) in Roseville, MI · enumerated 2007 · authorized official Henry Bryan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235325499

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Renaissance Oral Surgery PC

Practice address 20805 E 12 Mile Rd, Ste 110, Roseville, MI, 48066

Phone (586) 778-2100

Fax (586) 778-2422

Enumeration date Sep 21, 2007

Last updated in NPPES Oct 1, 2013

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians Secondary

2082S0099X Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Henry Bryan

Title President

Phone (586) 778-2100

Other identifiers

Identifier	Type	State	Issuer
975506164	Other	MI	BC/BS MEDICARE ADVANTAGE
U33701	Other	MI	HAP
2856	Other	MI	GOLDEN DENTAL
128744	Other	MI	CARE CHOICES
975506164	Other	MI	BC/BS OF MI
P00230001	Other	MI	MEDICARE PROVIDER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Renaissance Oral Surgery PC?

Renaissance Oral Surgery PC is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Henry Bryan Oral & Maxillofacial Surgery (D.M.D.) · Roseville, MI NPI 1992739379 Michelene Lepczyk General Practice Dentistry · Roseville, MI NPI 1871606483 Diana Mastronardi General Practice Dentistry · Roseville, MI NPI 1326104134 J.L. Colon, DDS, Pllc General Practice Dentistry · Roseville, MI NPI 1932450483

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-10-01.