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Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc
Oral and Maxillofacial Surgery (Dentist) in Caledonia, Michigan
NPI 1295375137

Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc is a Oral and Maxillofacial Surgery (Dentist) based in Caledonia, MI and is specialized in Oral and Maxillofacial Surgery. Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc practices in Caledonia, MI. The NPI Number for Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc is 1295375137 and holds a License No. (Michigan).

The current practice location address for Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc is 9021 N Rodgers Ct Se Ste A, Caledonia, MI and can be reached out via phone at 616-891-1700 and via fax at 616-891-9306.

Location: 9021 N Rodgers Ct Se Ste A, Caledonia, MI, 49316-7650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295375137
Provider Name
Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc
Credential
Provider Entity Type
Organization
Address
9021 N Rodgers Ct Se Ste A, Caledonia, MI, 49316-7650
Phone Number
616-891-1700
Fax Number
616-891-9306
Provider Enumeration Date
01/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134177942 01 MI NPI
institution
Provider Business Practice Location Address Details
Address
9021 N Rodgers Ct Se Ste A
City
Caledonia
State
Michigan
Zip
49316-7650
Phone Number
616-891-1700
Fax Number
616-891-9306
person
Provider Business Mailing Address Details
Address
9021 N Rodgers Ct Se Ste A
City
Caledonia
State
Michigan
Zip
49316-7650
Phone Number
616-891-1700
Fax Number
616-891-9306
person
Provider's Taxonomy Details 1
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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