| Great Lakes Oral And Maxillofacial Surgery P.c. | |
|
2325 Summit Park Dr Ste D Petoskey MI 49770-8774 | |
| (231) 487-1020 | |
| Not Available |
| Full Name | Great Lakes Oral And Maxillofacial Surgery P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2325 Summit Park Dr Ste D, Petoskey, Michigan |
| Authorized Official Name and Position | Robert Scott Sheperd (CEO/PRESIDENT) |
| Authorized Official Contact | 2314871020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Oral And Maxillofacial Surgery P.c. 2325 Summit Park Dr Ste D Petoskey MI 49770-8774 Ph: (231) 487-1020 | Great Lakes Oral And Maxillofacial Surgery P.c. 2325 Summit Park Dr Ste D Petoskey MI 49770-8774 Ph: (231) 487-1020 |
| NPI Number | 1760008528 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760008528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Martinsondriscoll D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 M 119, Petoskey, MI 49770 Phone: 231-347-7471 Fax: 231-347-7836 | |
Susan Js Malone, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 State St, Petoskey, MI 49770 Phone: 231-347-6932 Fax: 231-347-0292 | |
Jonathan Dzingle Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Petoskey St, Petoskey, MI 49770 Phone: 231-347-4145 | |
Northern Michigan Oral And Maxillofacial Surgery Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Bay St, Petoskey, MI 49770 Phone: 231-347-1601 | |
Brian Klym Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2044 E Mitchell Rd, Petoskey, MI 49770 Phone: 231-347-2188 Fax: 231-347-3206 | |
Northern Periodontics & Implant Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2115 M 119, Petoskey, MI 49770 Phone: 231-347-2518 Fax: 231-347-8530 | |
D Scott Eaton Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4144 Charlevoix Rd, Petoskey, MI 49770 Phone: 231-347-5055 Fax: 231-347-6141 |