Organization · Type 2 NPI
Great Lakes Oral and Maxillofacial Surgery P.c.
Oral and Maxillofacial Surgery (Dentist) · Petoskey, MI
NPI number
1760008528
Active
Practice location
2325 Summit Park Dr Ste D
Petoskey, MI 49770-8774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None 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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Petoskey
About NPI 1760008528
Great Lakes Oral and Maxillofacial Surgery P.c.'s National Provider Identifier is 1760008528, issued on Jun 17, 2020. 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 Jun 17, 2020.