NORTHERN MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
NPI 1154483014
Dentist - Oral and Maxillofacial Surgery in Petoskey, MI

Active since December 15, 2006
322 BAY ST, PETOSKEY, MI 49770(231) 347-1601 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Michigan Oral And Maxillofacial Surgery Pc NPPES

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

NORTHERN MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC (NPI 1154483014) is a healthcare organization registered as an oral and maxillofacial surgery in Petoskey, Michigan and active in the NPI registry since December 2006. The organization lists James Osetek, Owner, as its authorized official.

NPPES Registry Identity

NPI1154483014
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNORTHERN MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
Location Address322 BAY STPetoskey, MI 49770-2489
Mailing Address322 Bay StPetoskey, MI 49770-2489 · (231) 347-1601
Organization SubpartNo
Authorized OfficialJames OsetekOwner · (231) 347-1601
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 20, 2008
NPI 1154483014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MI · 2901013255
Definition
An oral and maxillofacial surgery dentist specialized in 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.
322 BAY ST, Petoskey, MI 49770

Other Identifiers 3

Other1174507495MI · Npi Individual
Medicare PIN0B46032MI
Other1003892944MI · Npi Individual

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 4

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

Dentist (Oral and Maxillofacial Surgery)
322 BAY ST, SUITE 2
PETOSKEY, MI 49770
Chiropractor
322 BAY ST, #3
PETOSKEY, MI 49770
Dentist (Oral and Maxillofacial Surgery)
322 BAY ST
PETOSKEY, MI 49770
Behavior Analyst
322 BAY ST
PETOSKEY, MI 49770

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 Northern Michigan Oral And Maxillofacial Surgery PC's NPI number?

The NPI number for Northern Michigan Oral And Maxillofacial Surgery PC is 1154483014. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Northern Michigan Oral And Maxillofacial Surgery PC located?

Northern Michigan Oral And Maxillofacial Surgery PC is located at 322 Bay St, Petoskey, MI 49770. The listed phone number is (231) 347-1601.

What is Northern Michigan Oral And Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Northern Michigan Oral And Maxillofacial Surgery PC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.