Organization · Type 2 NPI

Advanced Oral Surgery, PLLC

Oral and Maxillofacial Surgery (Dentist) · Grand Rapids, MI

NPI number 1508324732 Active

Practice location

3855 Burton St SE Ste B
Grand Rapids, MI 49546-6147

Fax (616) 369-0361

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.

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About NPI 1508324732

Advanced Oral Surgery, PLLC's National Provider Identifier is 1508324732, issued on Mar 6, 2019. 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 Mar 6, 2019.