Northern Michigan Oral And Maxillofacial Surgery PC
Dentist, Oral and Maxillofacial Surgery in Petoskey, MI. Organization (NPI-2).
NPI number1154483014
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1154483014
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Michigan Oral And Maxillofacial Surgery PC
- Organization subpart
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 2901013255 | MI | Yes |
Practice location
322 Bay StPetoskey, MI 49770-2489
Phone 231-347-1601
Mailing address
322 Bay StPetoskey, MI 49770-2489
Phone 231-347-1601
Authorized official
James Osetek
Owner
2313471601
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Other Oral and Maxillofacial Surgery (Dentist) providers in Petoskey, MI
- William James Gallo, DDSNPI 1174507495
- Great Lakes Oral And Maxillofacial Surgery P.C.NPI 1760008528
- James J Osetek, DMDNPI 1003892944
- Robert Scott Sheperd, DDSNPI 1568456028
All 5 Oral and Maxillofacial Surgery (Dentist) providers in Petoskey · All 1,111 providers in Petoskey
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