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Third Coast Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery Clinic/Center in Byron Center, Michigan
NPI 1902551351

Third Coast Oral & Maxillofacial Surgery is a Oral and Maxillofacial Surgery Clinic/Center based in Byron Center, MI and is specialized in Oral and Maxillofacial Surgery. Third Coast Oral & Maxillofacial Surgery practices in Byron Center, MI. The NPI Number for Third Coast Oral & Maxillofacial Surgery is 1902551351 and holds a License No. (Michigan).

The current practice location address for Third Coast Oral & Maxillofacial Surgery is 2119 64Th St Sw, Byron Center, MI and can be reached out via phone at 616-217-3632 and via fax at 616-217-3634.

Location: 2119 64Th St Sw, Byron Center, MI, 49315-9409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902551351
Provider Name
Third Coast Oral & Maxillofacial Surgery
Credential
Provider Entity Type
Organization
Address
2119 64Th St Sw, Byron Center, MI, 49315-9409
Phone Number
616-217-3632
Fax Number
616-217-3634
Provider Enumeration Date
02/15/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811378508 01 MI NPPES
1811378508 01 MI NPI
institution
Provider Business Practice Location Address Details
Address
2119 64Th St Sw
City
Byron Center
State
Michigan
Zip
49315-9409
Phone Number
616-217-3632
Fax Number
616-217-3634
person
Provider Business Mailing Address Details
Address
2119 64Th St Sw
City
Byron Center
State
Michigan
Zip
49315-9409
Phone Number
616-217-3632
Fax Number
616-217-3634
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
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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