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Great Lakes Dental Group Pllc
Oral and Maxillofacial Surgery (Dentist) in Royal Oak, Michigan
NPI 1053199141

Great Lakes Dental Group Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Royal Oak, MI and is specialized in Oral and Maxillofacial Surgery. Great Lakes Dental Group Pllc practices in Royal Oak, MI. The NPI Number for Great Lakes Dental Group Pllc is 1053199141 and holds a License No. (Michigan).

The current practice location address for Great Lakes Dental Group Pllc is 4251 Coolidge Hwy, Royal Oak, MI and can be reached out via phone at 248-547-3700.

Location: 4251 Coolidge Hwy, Royal Oak, MI, 48073-1639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053199141
Provider Name
Great Lakes Dental Group Pllc
Credential
Provider Entity Type
Organization
Address
4251 Coolidge Hwy, Royal Oak, MI, 48073-1639
Phone Number
248-547-3700
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4251 Coolidge Hwy
City
Royal Oak
State
Michigan
Zip
48073-1639
Phone Number
248-547-3700
Fax Number
person
Provider Business Mailing Address Details
Address
4251 Coolidge Hwy
City
Royal Oak
State
Michigan
Zip
48073-1639
Phone Number
248-547-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
()
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
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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