location
search-icon
institution
Great Lakes Jaw Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in Grand Rapids, Michigan
NPI 1326291816

Great Lakes Jaw Surgery, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Grand Rapids, MI and is specialized in Oral and Maxillofacial Surgery. Great Lakes Jaw Surgery, Pc practices in Grand Rapids, MI. The NPI Number for Great Lakes Jaw Surgery, Pc is 1326291816 and holds a License No. 2901011345 (Michigan).

The current practice location address for Great Lakes Jaw Surgery, Pc is 2017 Eastcastle Dr Se, Grand Rapids, MI and can be reached out via phone at 616-281-2370 and via fax at 616-281-2801.

Location: 2017 Eastcastle Dr Se, Grand Rapids, MI, 49508-8872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326291816
Provider Name
Great Lakes Jaw Surgery, Pc
Credential
Provider Entity Type
Organization
Address
2017 Eastcastle Dr Se, Grand Rapids, MI, 49508-8872
Phone Number
616-281-2370
Fax Number
616-281-2801
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
10-2978271 05 MI
institution
Provider Business Practice Location Address Details
Address
2017 Eastcastle Dr Se
City
Grand Rapids
State
Michigan
Zip
49508-8872
Phone Number
616-281-2370
Fax Number
616-281-2801
person
Provider Business Mailing Address Details
Address
2017 Eastcastle Dr Se
City
Grand Rapids
State
Michigan
Zip
49508-8872
Phone Number
616-281-2370
Fax Number
616-281-2801
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901011345 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.