Organization · Type 2 NPI

Oral & Maxillofacial Surgery of Greater Grand Rapids LLC

Oral and Maxillofacial Surgery (Dentist) · Caledonia, MI

NPI number 1295375137 Active

Practice location

9021 N Rodgers Ct SE Ste A
Caledonia, MI 49316-7650

Fax (616) 891-9306

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.

Another provider at this address

About NPI 1295375137

Oral & Maxillofacial Surgery of Greater Grand Rapids LLC's National Provider Identifier is 1295375137, issued on Jan 8, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Caledonia, MI. The record was last updated on Jan 8, 2020.