Organization · Type 2 NPI

Northern Michigan Oral and Maxillofacial Surgery PC

Oral and Maxillofacial Surgery (Dentist) · Petoskey, MI

NPI number 1154483014 Active

Practice location

322 Bay St
Petoskey, MI 49770-2489

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901013255 (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.

4 other providers at this address

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About NPI 1154483014

Northern Michigan Oral and Maxillofacial Surgery PC's National Provider Identifier is 1154483014, issued on Dec 15, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Petoskey, MI. The record was last updated on Apr 20, 2008.