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ADVANCED ORAL SURGERY, PLLC
NPI 1508324732
Dentist - Oral and Maxillofacial Surgery in Grand Rapids, MI

Active since March 06, 2019
3855 BURTON ST SE STE B, GRAND RAPIDS, MI 49546(616) 369-0360(616) 369-0361 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Oral Surgery, Pllc NPPES

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

ADVANCED ORAL SURGERY, PLLC (NPI 1508324732), doing business as Advanced Oral Surgery And Dental Implant Studio, is a healthcare organization registered as an oral and maxillofacial surgery in Grand Rapids, Michigan and active in the NPI registry since March 2019. The organization lists Mark Leonard Jesin, Manager, as its authorized official.

NPPES Registry Identity

NPI1508324732
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameADVANCED ORAL SURGERY, PLLC
Location Address3855 BURTON ST SE STE BGrand Rapids, MI 49546-6147
Mailing Address3855 Burton St Se Ste BGrand Rapids, MI 49546-6147 · (616) 369-0360 · Fax (616) 369-0361
Phone(616) 369-0360
Fax(616) 369-0361
Organization SubpartNo
Authorized OfficialMark Leonard JesinManager · (616) 369-0360
Enumeration DateMarch 6, 2019
✔ NPI 1508324732 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.
3855 BURTON ST SE STE B, Grand Rapids, MI 49546
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Other Names 1

Doing Business AsAdvanced Oral Surgery And Dental Implant Studio

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.

DR. MARK JESIN DDS
Dentist (Oral and Maxillofacial Surgery)
3855 BURTON ST SE STE B
GRAND RAPIDS, MI 49546
Kent County (616) 369-0360

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 Advanced Oral Surgery, PLLC's NPI number?

The NPI number for Advanced Oral Surgery, PLLC is 1508324732. It was assigned to this organization in the NPPES registry on March 6, 2019. The provider is doing business as Advanced Oral Surgery and Dental Implant Studio.

Where is Advanced Oral Surgery, PLLC located?

Advanced Oral Surgery, PLLC is located at 3855 Burton St SE Ste B, Grand Rapids, MI 49546. The listed phone number is (616) 369-0360.

What is Advanced Oral Surgery, PLLC'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 Advanced Oral Surgery, PLLC was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.