| Center For Oral Surgery & Dental Implants | |
|
4349 Sawkaw Dr Ne Grand Rapids MI 49525-1768 | |
| (616) 361-7327 | |
| Not Available |
| Full Name | Center For Oral Surgery & Dental Implants |
|---|---|
| Speciality | Dentist |
| Location | 4349 Sawkaw Dr Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Samantha Jo Hanes (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 6163617327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Oral Surgery & Dental Implants 4349 Sawkaw Dr Ne Grand Rapids MI 49525-1768 Ph: (616) 361-7327 | Center For Oral Surgery & Dental Implants 4349 Sawkaw Dr Ne Grand Rapids MI 49525-1768 Ph: (616) 361-7327 |
| NPI Number | 1649361999 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 8325056153 |
|---|---|
| Medicare Enrollment ID | O20060405000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649361999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Richard Walter Panek |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1740371087 PECOS PAC ID: 2860401031 Enrollment ID: I20060418000731 |
| Provider Name | Emily J Vanheukelom |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1578738837 PECOS PAC ID: 7810129038 Enrollment ID: I20150429000405 |
| Provider Name | Roseanna P Noordhoek |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1093913626 PECOS PAC ID: 7810165099 Enrollment ID: I20161101002773 |
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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 | |
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