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ORAL & MAXILLOFACIAL SURGERY OF GREATER GRAND RAPIDS LLC
NPI 1295375137
Dentist - Oral and Maxillofacial Surgery in Caledonia, MI

Active since January 08, 2020
9021 N RODGERS CT SE STE A, CALEDONIA, MI 49316(616) 891-1700(616) 891-9306 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oral & Maxillofacial Surgery Of Greater Grand Rapids Llc NPPES

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

ORAL & MAXILLOFACIAL SURGERY OF GREATER GRAND RAPIDS LLC (NPI 1295375137) is a healthcare organization registered as an oral and maxillofacial surgery in Caledonia, Michigan and active in the NPI registry since January 2020. The organization lists Bradley G Vanhoose Garrett Vanhoose, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1295375137
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & MAXILLOFACIAL SURGERY OF GREATER GRAND RAPIDS LLC
Location Address9021 N RODGERS CT SE STE ACaledonia, MI 49316-7650
Mailing Address9021 N Rodgers Ct Se Ste ACaledonia, MI 49316-7650 · (616) 891-1700 · Fax (616) 891-9306
Phone(616) 891-1700
Fax(616) 891-9306
Organization SubpartNo
Authorized OfficialBradley G Vanhoose Garrett VanhooseOral Surgeon · (616) 891-1700
Enumeration DateJanuary 8, 2020
✔ NPI 1295375137 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.
9021 N RODGERS CT SE STE A, Caledonia, MI 49316
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Other Names 1

Other NameBradley G. Vanhoose

Other Identifiers 1

Other1134177942MI · Npi

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

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

DOUGLAS DAVID ORZEL DDS
Dentist (Oral and Maxillofacial Surgery)
9021 N RODGERS CT SE STE A
CALEDONIA, MI 49316
Kent County (616) 891-1700

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 Oral & Maxillofacial Surgery Of Greater Grand Rapids LLC's NPI number?

The NPI number for Oral & Maxillofacial Surgery Of Greater Grand Rapids LLC is 1295375137. It was assigned to this organization in the NPPES registry on January 8, 2020. The provider is also known as Bradley G. VanHoose.

Where is Oral & Maxillofacial Surgery Of Greater Grand Rapids LLC located?

Oral & Maxillofacial Surgery Of Greater Grand Rapids LLC is located at 9021 N Rodgers Ct SE Ste A, Caledonia, MI 49316. The listed phone number is (616) 891-1700.

What is Oral & Maxillofacial Surgery Of Greater Grand Rapids LLC'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 Oral & Maxillofacial Surgery Of Greater Grand Rapids LLC was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.