Organization · Type 2 NPI
Central Michigan Group
Oral and Maxillofacial Surgery Clinic/Center · East Lansing, MI
NPI number
1124540240
Active
Practice location
231 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8451
Fax (517) 272-0887
Other practice locations
- 211 S Crapo St Ste K, Mount Pleasant, MI 48858-2961 · (989) 953-4200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | JM012412 (MI) |
Oral and Maxillofacial Surgery Clinic/Center: 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.
About NPI 1124540240
Central Michigan Group's National Provider Identifier is 1124540240, issued on Jul 11, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in East Lansing, MI. The record was last updated on Jul 21, 2022.