institution
Kalamazoo Oral & Maxillofacial Surgery, P.c.
Oral and Maxillofacial Surgery (Dentist) in Portage, Michigan
NPI 1265522262

Kalamazoo Oral & Maxillofacial Surgery, P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Portage, MI and is specialized in Oral and Maxillofacial Surgery. Kalamazoo Oral & Maxillofacial Surgery, P.c. practices in Portage, MI. The NPI Number for Kalamazoo Oral & Maxillofacial Surgery, P.c. is 1265522262 and holds a License No. (Michigan).

The current practice location address for Kalamazoo Oral & Maxillofacial Surgery, P.c. is 3801 Glenkerry Ct, Portage, MI and can be reached out via phone at 269-323-1527 and via fax at 269-323-1670.

Location: 3801 Glenkerry Ct, Portage, MI, 49024-0718
institution
Provider Profile Details
NPI Number
1265522262
Provider Name
Kalamazoo Oral & Maxillofacial Surgery, P.c.
Credential
Provider Entity Type
Organization
Address
3801 Glenkerry Ct, Portage, MI, 49024-0718
Phone Number
269-323-1527
Fax Number
269-323-1670
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669433793 01 TYPE 1 NPI T. SLACK
1376705038 01 TYPE 1 NPI D. WILSON
1164416194 01 TYPE 1 NPI K. MORSE
1952361594 01 TYPE 1 NPI C. KANAR
1780645804 01 TYPE 1 NPI J. GISSAL
institution
Provider Business Practice Location Address Details
Address
3801 Glenkerry Ct
City
State
Zip
49024-0718
Phone Number
269-323-1527
Fax Number
269-323-1670
person
Provider Business Mailing Address Details
Address
3801 Glenkerry Ct
City
State
Zip
49024-0718
Phone Number
269-323-1527
Fax Number
269-323-1670
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
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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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