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Upper Michigan Oral & Maxillofacial Surgery Pc
Oral and Maxillofacial Surgery (Dentist) in Marquette, Michigan
NPI 1316110778

Upper Michigan Oral & Maxillofacial Surgery Pc is a Oral and Maxillofacial Surgery (Dentist) based in Marquette, MI and is specialized in Oral and Maxillofacial Surgery. Upper Michigan Oral & Maxillofacial Surgery Pc practices in Marquette, MI. The NPI Number for Upper Michigan Oral & Maxillofacial Surgery Pc is 1316110778 and holds a License No. J14145 (Michigan).

The current practice location address for Upper Michigan Oral & Maxillofacial Surgery Pc is 1250 Wilson St, Marquette, MI and can be reached out via phone at 906-228-7173 and via fax at 906-228-2916.

Location: 1250 Wilson St, Marquette, MI, 49855-4454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316110778
Provider Name
Upper Michigan Oral & Maxillofacial Surgery Pc
Credential
Provider Entity Type
Organization
Address
1250 Wilson St, Marquette, MI, 49855-4454
Phone Number
906-228-7173
Fax Number
906-228-2916
Provider Enumeration Date
04/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124726184 05 MI
institution
Provider Business Practice Location Address Details
Address
1250 Wilson St
City
Marquette
State
Michigan
Zip
49855-4454
Phone Number
906-228-7173
Fax Number
906-228-2916
person
Provider Business Mailing Address Details
Address
1250 Wilson St
City
Marquette
State
Michigan
Zip
49855-4454
Phone Number
906-228-7173
Fax Number
906-228-2916
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
J14145 (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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