ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC
NPI 1548283559
Dentist - Oral and Maxillofacial Radiology in Grand Rapids, MI

Active since July 25, 2006
4500 CASCADE RD SE, SUITE #208, GRAND RAPIDS, MI 49546(616) 977-5000(616) 977-0020 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Oral And Maxillofacial Surgery Services, Plc NPPES

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

ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC (NPI 1548283559) is a healthcare organization registered as an oral and maxillofacial radiology in Grand Rapids, Michigan and active in the NPI registry since July 2006. The organization lists Kim L Erickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1548283559
Entity TypeOrganization
Primary Taxonomy1223X0008X
Legal Business NameORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC
Location Address4500 CASCADE RD SE, SUITE #208Grand Rapids, MI 49546-3665
Mailing Address4500 Cascade Rd Se, Suite #208Grand Rapids, MI 49546-3665 · (616) 977-5000 · Fax (616) 977-0020
Fax(616) 977-0020
Organization SubpartNo
Authorized OfficialKim L EricksonOwner · (616) 977-5000
Enumeration DateJuly 25, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1548283559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
License Licensed in MI · KE011553
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License KE011553 (MI)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License KE011553 (MI)
4500 CASCADE RD SE, Grand Rapids, MI 49546

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

Dentist (General Practice)
4500 CASCADE RD SE, STE. 107
GRAND RAPIDS, MI 49546
Dentist
4500 CASCADE RD SE, SUITE #107
GRAND RAPIDS, MI 49546
Anesthesiology
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Counselor (Mental Health)
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4500 CASCADE RD SE, SUITE 210
GRAND RAPIDS, MI 49546
Dentist (Oral and Maxillofacial Pathology)
4500 CASCADE RD SE, SUITE #208
GRAND RAPIDS, MI 49546
Counselor (Mental Health)
4500 CASCADE RD SE
GRAND RAPIDS, MI 49546

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 And Maxillofacial Surgery Services, Plc's NPI number?

The NPI number for Oral And Maxillofacial Surgery Services, Plc is 1548283559. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Oral And Maxillofacial Surgery Services, Plc located?

Oral And Maxillofacial Surgery Services, Plc is located at 4500 Cascade Rd SE Suite #208, Grand Rapids, MI 49546. The listed phone number is (616) 977-5000.

What is Oral And Maxillofacial Surgery Services, Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

When was this NPI record last updated?

The NPPES record for Oral And Maxillofacial Surgery Services, Plc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.