institution
Northern Michigan Oral And Maxillofacial Surgery Pc
Oral and Maxillofacial Surgery (Dentist) in Petoskey, Michigan
NPI 1154483014

Northern Michigan Oral And Maxillofacial Surgery Pc is a Oral and Maxillofacial Surgery (Dentist) based in Petoskey, MI and is specialized in Oral and Maxillofacial Surgery. Northern Michigan Oral And Maxillofacial Surgery Pc practices in Petoskey, MI. The NPI Number for Northern Michigan Oral And Maxillofacial Surgery Pc is 1154483014 and holds a License No. 2901013255 (Michigan).

The current practice location address for Northern Michigan Oral And Maxillofacial Surgery Pc is 322 Bay St, Petoskey, MI and can be reached out via phone at 231-347-1601.

Location: 322 Bay St, Petoskey, MI, 49770-2489
institution
Provider Profile Details
NPI Number
1154483014
Provider Name
Northern Michigan Oral And Maxillofacial Surgery Pc
Credential
Provider Entity Type
Organization
Address
322 Bay St, Petoskey, MI, 49770-2489
Phone Number
231-347-1601
Fax Number
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174507495 01 MI NPI INDIVIDUAL
1003892944 01 MI NPI INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
322 Bay St
City
State
Zip
49770-2489
Phone Number
231-347-1601
Fax Number
person
Provider Business Mailing Address Details
Address
322 Bay St
City
State
Zip
49770-2489
Phone Number
231-347-1601
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2901013255 (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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