| Great Lakes Jaw Surgery, Pc | |
|
2017 Eastcastle Dr Se Suite C Grand Rapids MI 49508-8872 | |
| (616) 281-2370 | |
| (616) 281-2801 |
| Full Name | Great Lakes Jaw Surgery, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2017 Eastcastle Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Robert John Rosema (OWNER/ ORAL SURGEON) |
| Authorized Official Contact | 6162812370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Jaw Surgery, Pc 2017 Eastcastle Dr Se Suite C Grand Rapids MI 49508-8872 Ph: (616) 281-2370 | Great Lakes Jaw Surgery, Pc 2017 Eastcastle Dr Se Suite C Grand Rapids MI 49508-8872 Ph: (616) 281-2370 |
| NPI Number | 1326291816 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326291816 | NPI | - | NPPES |
| 10-2978271 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901011345 (Michigan) | Primary |
W&w Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 43rd St Se, Suite C, Grand Rapids, MI 49508 Phone: 616-455-4108 | |
Karen A O Rourke Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Kalamazoo Se Ste 1, Grand Rapids, MI 49508 Phone: 616-455-7930 Fax: 616-455-9952 | |
Durham & Mehling Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2700 5 Mile Ne, Ste 201, Grand Rapids, MI 49525 Phone: 616-361-1727 Fax: 616-361-1455 | |
Grand Ridge Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Grand Ridge Dr Ne, Grand Rapids, MI 49525 Phone: 616-447-7800 Fax: 616-447-9611 | |
Oral Surgery Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2144 E Paris Ave Se Ste 150, Grand Rapids, MI 49546 Phone: 616-942-2000 Fax: 616-942-6805 | |
Eastern Dental Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2426 Burton St Se, Grand Rapids, MI 49546 Phone: 616-974-0991 Fax: 616-974-0920 | |
Adam E. Piotrowski, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E Beltline Ave Se Ste 101, Grand Rapids, MI 49546 Phone: 616-949-1570 |