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

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1902993819
NPI Entity Type Organization
Provider Name Great Lakes Oral Surgery And Implants, P.c.
Former Legal Business Name
Subpart of Organization Great Lakes Oral Surgery And Implants, P.c.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5417gateway Centre Blvd., Flint, MI, US
Provider Mailing Address 5417 Gateway Centre Blvd., Flint, MI, US, 485073980
Is Sole Proprietor? No
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Organization Official

Official Name D.D.S. Michael S. Frey
Official Position OWNER/PRESIDENT
Phone 810-424-0705

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

1223S0112X

Taxonomy Name Oral and Maxillofacial Surgery (Dentist)
Classification

Dentist

Group

Dental Providers

Description 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.

Other Organization Name

Oral and Maxillofacial Surgery, P.C.
Former Legal Business Name

Business Address

Great Lakes Oral Surgery And Implants, P.c.
5417gateway Centre Blvd.

Flint, MI, US

Phone: 810-424-0705
Fax: 810-424-0750

Mailing Address

Great Lakes Oral Surgery And Implants, P.c.
5417 Gateway Centre Blvd.
Flint, MI, US
ZIP 485073980
Phone: 810-424-0705
Fax: 810-424-0750

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4045904 MI MEDICAID 05
195256547 MI BLUE CROSS BLUE SHIELD 01
4417670 MI MEDICAID 05
975256759 MI BLUE CROSS BLUE SHIELD 01
9752562480 MI BLUE CROSS BLUE SHIELD 01
2594587 MI MEDICAID 05

Other Providers in MI, US

NPI Name Taxonomy Address

1659096923

Rafa Therapies

Organization

Rehabilitation Hospital Unit

4745 Michigan Ave

Detroit, MI

1649715194

Leah West

Individual

Family Nurse Practitioner

1 Genesys Pkwy

Grand Blanc, MI

1942923867

MRS. Dayna Calka

Individual

Mental Health Counselor

2399 E Walton Blvd

Auburn Hills, MI

1619225489

DR. PSYD, MPH Shervin Tehrani-rad

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1770990392

DR. PSYD Amreeta Gill

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1144940149

Mackenzie Louise Meredith

Individual

Family Nurse Practitioner

1402 W 14 Mile Rd

Clawson, MI

1881058709

DR. M.D., M.S. Marco Antonio Peterson JR.

Individual

Family Medicine Physician

1101 W University Dr

2 South

Rochester, MI

1053804146

PT Esther Karunakar

Individual

Physical Therapist

6711 Westpointe Dr

Troy, MI

1033179189

MD Sailaja Yadavalli

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1205896263

MD Jeffery Wong

Individual

Diagnostic Radiology Physician

44201 Dequindre

Troy, MI

1639371859

MRS. P.A.-C Sarah Zukowski Wilhelm

Individual

Physician Assistant

3601 W 13 Mile Rd

Royal Oak, MI

1164482253

MD Bridget Wiater

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

400 Fsc-pcs

Royal Oak, MI

1699735696

MD Robert Weinfeld

Individual

Diagnostic Radiology Physician

44201 Dequindre Rd

Troy, MI

1164482139

M.D. Ann E Swinford

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1215568928

Lindsay Essig

Individual

Behavioral Analyst

1913 Cambridge Dr

Kalamazoo, MI

1821453663

LPC Jonathan Hart

Individual

Professional Counselor

52188 Van Dyke Ave Ste 300

Shelby Township, MI

1952958894

DDS, MS Suhaib Alqawasmeh

Individual

General Practice Dentistry

30090 23 Mile Rd

Chesterfield, MI

1205454402

Alexis K Willmore

Individual

Physician Assistant

3950 Hollywood Rd Ste 280

Saint Joseph, MI

1841221108

DR. DO, MPH Jimmy Wayne Brandon

Individual

Preventive Medicine/Occupational Environmental Medicine Physician

G-3100 Van Slyke Road

General Motors Health Services / Flint Assembly

Flint, MI

1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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