Individual provider · Type 1 NPI

Paul Jeffrey Brooks, DDS

Oral and Maxillofacial Surgery (Dentist) · Grand Rapids, MI

NPI number 1053406728 Active

Practice location

2140 Lake Michigan Dr NW
Grand Rapids, MI 49504-4785

Call (616) 735-2870 Map

Fax (616) 735-2871

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901016571 (MI)

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.

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About NPI 1053406728

Paul Jeffrey Brooks, DDS's National Provider Identifier is 1053406728, issued on Oct 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.