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GREAT LAKES ORAL SURGERY PLLC
NPI 1801644042
Oral & Maxillofacial Surgery in Ann Arbor, MI

Active since May 13, 2024
955 W EISENHOWER CIR STE G, ANN ARBOR, MI 48103(269) 845-0671 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Oral Surgery Pllc NPPES

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

GREAT LAKES ORAL SURGERY PLLC (NPI 1801644042), doing business as Wisdom Tooth & Dental Implant Center, is a healthcare organization registered as an oral & maxillofacial surgery in Ann Arbor, Michigan and active in the NPI registry since May 2024. The organization lists Joshua Allen Deuel, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1801644042
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameGREAT LAKES ORAL SURGERY PLLC
Location Address955 W EISENHOWER CIR STE GAnn Arbor, MI 48103-5868
Mailing Address2265 S Main StAnn Arbor, MI 48103-5830 · (269) 845-0671
Phone(269) 845-0671
Organization SubpartNo
Authorized OfficialJoshua Allen DeuelOwner/operator · (269) 845-0671
Enumeration DateMay 13, 2024
NPPES CertifiedMay 12, 2024
✔ NPI 1801644042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
955 W EISENHOWER CIR STE G, Ann Arbor, MI 48103
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Other Names 1

Doing Business AsWisdom Tooth & Dental Implant Center

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 UnitedHealthcare.Insurance ›

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. JOSHUA ALLEN DEUEL D.D.S.
Oral & Maxillofacial Surgery
955 W EISENHOWER CIR STE G
ANN ARBOR, MI 48103
Washtenaw County (734) 418-0800

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 Great Lakes Oral Surgery PLLC's NPI number?

The NPI number for Great Lakes Oral Surgery PLLC is 1801644042. It was assigned to this organization in the NPPES registry on May 13, 2024. The provider is doing business as Wisdom Tooth & Dental Implant Center.

Where is Great Lakes Oral Surgery PLLC located?

Great Lakes Oral Surgery PLLC is located at 955 W Eisenhower Cir Ste G, Ann Arbor, MI 48103. The listed phone number is (269) 845-0671.

What is Great Lakes Oral Surgery PLLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

What insurance does Great Lakes Oral Surgery PLLC accept?

Health plans from UnitedHealthcare list Great Lakes Oral Surgery PLLC 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 Great Lakes Oral Surgery PLLC was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.