Organization · Type 2 NPI

Grand Traverse Oral Surgery, P.c.

Oral and Maxillofacial Surgery (Dentist) · Traverse City, MI

NPI number 1003095605 Active

Practice location

12776 S West Bay Shore Dr
Traverse City, MI 49684-5451

Fax (231) 946-1908

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

8 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Traverse City

See all in Traverse City →

About NPI 1003095605

Grand Traverse Oral Surgery, P.c.'s National Provider Identifier is 1003095605, issued on Oct 31, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Traverse City, MI. The record was last updated on Mar 19, 2008.