Individual provider · Type 1 NPI
Mark Jesin, DDS
Oral and Maxillofacial Surgery (Dentist) · Grand Rapids, MI
NPI number
1184885154
Active
Practice location
3855 Burton St SE Ste B
Grand Rapids, MI 49546
Fax (616) 369-0361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | L2299335 (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.
Another provider at this address
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About NPI 1184885154
Mark Jesin, DDS's National Provider Identifier is 1184885154, issued on Jun 22, 2008. 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 Feb 13, 2019.