Organization · Type 2 NPI
Upper Michigan Oral & Maxillofacial Surgery PC
Oral and Maxillofacial Surgery (Dentist) · Marquette, MI
NPI number
1316110778
Active
Practice location
1250 Wilson St, Suite 101
Marquette, MI 49855-4454
Fax (906) 228-2916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | J14145 (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
About NPI 1316110778
Upper Michigan Oral & Maxillofacial Surgery PC's National Provider Identifier is 1316110778, issued on Apr 8, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Marquette, MI. The record was last updated on Nov 1, 2016.