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BREAKWATER ORAL AND MAXILLOFACIAL SURGERY PLLC
NPI 1114856226
Dentist - Periodontics in Rochester, MI

Active since May 15, 2026
1000 W UNIVERSITY DR STE 207, ROCHESTER, MI 48307(947) 222-1667(947) 222-1647 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breakwater Oral And Maxillofacial Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREAKWATER ORAL AND MAXILLOFACIAL SURGERY PLLC (NPI 1114856226), doing business as Great Oaks Periodontics & Dental Implants, is a healthcare organization registered as a periodontics in Rochester, Michigan and active in the NPI registry since May 2026. The organization lists Jenn Heritage, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1114856226
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBREAKWATER ORAL AND MAXILLOFACIAL SURGERY PLLC
Location Address1000 W UNIVERSITY DR STE 207Rochester, MI 48307-1875
Mailing Address1000 W University Dr Ste 207Rochester, MI 48307-1875
Phone(947) 222-1667
Fax(947) 222-1647
Organization SubpartYes
Authorized OfficialJenn HeritageCredentialing Manager · (402) 805-4516
Enumeration DateMay 15, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1114856226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1000 W UNIVERSITY DR STE 207, Rochester, MI 48307
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Other Names 1

Doing Business AsGreat Oaks Periodontics & Dental Implants

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAINT CREEK PEDIATRICS AND ADOLESCENT CARE PC
Pediatrics
1000 W UNIVERSITY DR STE 207
ROCHESTER HILLS, MI 48307
Oakland County (248) 656-3440
DR. HERMINIA PEREZ BIEREMA MD
Pediatrics
1000 W UNIVERSITY DR STE 207
ROCHESTER HILLS, MI 48307
Oakland County (248) 656-3440
DR. CRAIG DAVID MUELLER MD
Pediatrics
1000 W UNIVERSITY DR STE 207
ROCHESTER HILLS, MI 48307
Oakland County (248) 656-3440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breakwater Oral And Maxillofacial Surgery PLLC's NPI number?

The NPI number for Breakwater Oral And Maxillofacial Surgery PLLC is 1114856226. It was assigned to this organization in the NPPES registry on May 15, 2026. The provider is doing business as Great Oaks Periodontics & Dental Implants.

Where is Breakwater Oral And Maxillofacial Surgery PLLC located?

Breakwater Oral And Maxillofacial Surgery PLLC is located at 1000 W University Dr Ste 207, Rochester, MI 48307. The listed phone number is (947) 222-1667.

What is Breakwater Oral And Maxillofacial Surgery PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Breakwater Oral And Maxillofacial Surgery PLLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.