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Great Lakes Oral Surgery And Implants, P.c.
Oral and Maxillofacial Surgery (Dentist) in Flint, Michigan
NPI 1902993819

Great Lakes Oral Surgery And Implants, P.c. is a Oral and Maxillofacial Surgery (Dentist) based in Flint, MI and is specialized in Oral and Maxillofacial Surgery. Great Lakes Oral Surgery And Implants, P.c. practices in Flint, MI. The NPI Number for Great Lakes Oral Surgery And Implants, P.c. is 1902993819 and holds a License No. (Michigan).

The current practice location address for Great Lakes Oral Surgery And Implants, P.c. is 5417 Gateway Ctr, Flint, MI and can be reached out via phone at 810-424-0705 and via fax at 810-424-0750.

Location: 5417 Gateway Ctr, Flint, MI, 48507-3980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902993819
Provider Name
Great Lakes Oral Surgery And Implants, P.c.
Credential
Provider Entity Type
Organization
Address
5417 Gateway Ctr, Flint, MI, 48507-3980
Phone Number
810-424-0705
Fax Number
810-424-0750
Provider Enumeration Date
10/10/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2594587 05 MI
9752562480 01 MI BLUE CROSS BLUE SHIELD
4045904 05 MI
975256759 01 MI BLUE CROSS BLUE SHIELD
4417670 05 MI
195256547 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5417 Gateway Ctr
City
Flint
State
Michigan
Zip
48507-3980
Phone Number
810-424-0705
Fax Number
810-424-0750
person
Provider Business Mailing Address Details
Address
5417 Gateway Ctr
City
Flint
State
Michigan
Zip
48507-3980
Phone Number
810-424-0705
Fax Number
810-424-0750
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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