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KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.
NPI 1265522262
Dentist - Oral and Maxillofacial Surgery in Portage, MI

Active since October 13, 2006
3801 GLENKERRY CT, PORTAGE, MI 49024(269) 323-1527(269) 323-1670 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kalamazoo Oral & Maxillofacial Surgery, P.c. NPPES

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

KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C. (NPI 1265522262) is a healthcare organization registered as an oral and maxillofacial surgery in Portage, Michigan and active in the NPI registry since October 2006. The organization lists Nancy Simonelli, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265522262
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.
Location Address3801 GLENKERRY CTPortage, MI 49024-0718
Mailing Address3801 Glenkerry CtPortage, MI 49024-0718 · (269) 323-1527 · Fax (269) 323-1670
Phone(269) 323-1527
Fax(269) 323-1670
Organization SubpartNo
Authorized OfficialNancy SimonelliOffice Manager · (269) 323-1527
Enumeration DateOctober 13, 2006
Last NPPES UpdateJune 2, 2015
✔ NPI 1265522262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
3801 GLENKERRY CT, Portage, MI 49024
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Other Identifiers 5

Other1669433793Type 1 Npi T. Slack
Other1376705038Type 1 Npi D. Wilson
Other1952361594Type 1 Npi C. Kanar
Other1164416194Type 1 Npi K. Morse
Other1780645804Type 1 Npi J. Gissal

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. KEVIN DONALD MORSE DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527
DR. TIMOTHY V WILLIAMS DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527
DR. THOMAS A SLACK DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527
DR. JOHN R GISSAL DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527
DR. ROBERT M HUMPHRIES D.D.S., M.S.
Dentist (Prosthodontics)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-0888
DR. CHRISTIAN L KANAR DDS
Dentist (Oral and Maxillofacial Surgery)
3801 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 323-1527

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 Kalamazoo Oral & Maxillofacial Surgery, P.C.'s NPI number?

The NPI number for Kalamazoo Oral & Maxillofacial Surgery, P.C. is 1265522262. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Kalamazoo Oral & Maxillofacial Surgery, P.C. located?

Kalamazoo Oral & Maxillofacial Surgery, P.C. is located at 3801 Glenkerry Ct, Portage, MI 49024. The listed phone number is (269) 323-1527.

What is Kalamazoo Oral & Maxillofacial Surgery, P.C.'s specialty?

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

What insurance does Kalamazoo Oral & Maxillofacial Surgery, P.C. accept?

Health plans from Blue Care Network of Michigan list Kalamazoo Oral & Maxillofacial Surgery, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kalamazoo Oral & Maxillofacial Surgery, P.C. was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.