institution
Central Michigan Group
Oral and Maxillofacial Surgery Clinic/Center in East Lansing, Michigan
NPI 1124540240

Central Michigan Group is a Oral and Maxillofacial Surgery Clinic/Center based in East Lansing, MI and is specialized in Oral and Maxillofacial Surgery. Central Michigan Group practices in East Lansing, MI. The NPI Number for Central Michigan Group is 1124540240 and holds a License No. JM012412 (Michigan).

The current practice location address for Central Michigan Group is 231 W Lake Lansing Rd Ste 200, East Lansing, MI and can be reached out via phone at 517-272-0886 and via fax at 517-272-0887.

Location: 231 W Lake Lansing Rd Ste 200, East Lansing, MI, 48823-8451
institution
Provider Profile Details
NPI Number
1124540240
Provider Name
Central Michigan Group
Credential
Provider Entity Type
Organization
Address
231 W Lake Lansing Rd Ste 200, East Lansing, MI, 48823-8451
Phone Number
517-272-0886
Fax Number
517-272-0887
Provider Enumeration Date
07/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5330109 01 MI BLUE CROSS BLUE SHIELD OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
231 W Lake Lansing Rd Ste 200
City
State
Zip
48823-8451
Phone Number
517-272-0886
Fax Number
517-272-0887
person
Provider Business Mailing Address Details
Address
231 W Lake Lansing Rd Ste 200
City
State
Zip
48823-8451
Phone Number
517-272-0886
Fax Number
517-272-0887
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
JM012412 (Michigan)
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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