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GREATER MICHIGAN ORAL SURGEONS & DENTAL IMPLANT CENTER
NPI 1902993819
Dentist - Oral and Maxillofacial Surgery in Flint, MI

Active since October 10, 2006
5417 GATEWAY CTR, FLINT, MI 48507(810) 424-0705(810) 424-0750 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greater Michigan Oral Surgeons & Dental Implant Center NPPES

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

GREATER MICHIGAN ORAL SURGEONS & DENTAL IMPLANT CENTER (NPI 1902993819) is a healthcare organization registered as an oral and maxillofacial surgery in Flint, Michigan and active in the NPI registry since October 2006. The organization lists Samantha A Kern, Credentialing & Billing, as its authorized official.

NPPES Registry Identity

NPI1902993819
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGREAT LAKES ORAL SURGERY AND IMPLANTS, P.C.
Location Address5417 GATEWAY CTRFlint, MI 48507-3980
Mailing Address5417 Gateway Centre Blvd.Flint, MI 48507-3980 · (810) 424-0705 · Fax (810) 424-0750
Phone(810) 424-0705
Fax(810) 424-0750
Organization SubpartYes
Authorized OfficialSamantha A KernCredentialing & Billing · (810) 424-0705
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1902993819 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.
5417 GATEWAY CTR, Flint, MI 48507
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Other Names 2

Doing Business AsGreater Michigan Oral Surgeons & Dental Implant Center
Former Legal Business NameOral And Maxillofacial Surgery, P.c.

Other Identifiers 6

Medicaid2594587MI
Other9752562480MI · Blue Cross Blue Shield
Medicaid4045904MI
Other975256759MI · Blue Cross Blue Shield
Medicaid4417670MI
Other195256547MI · Blue Cross Blue Shield

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 2

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

GMOS ORAL SURGERY, PC
Dentist (Oral and Maxillofacial Surgery)
5417 GATEWAY CTR
FLINT, MI 48507
Genesee County (810) 424-0705
DR. ROBERT C. LESNESKI D.D.S.
Dentist (Oral and Maxillofacial Surgery)
5417 GATEWAY CTR
FLINT, MI 48507
Genesee County (810) 424-0705

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 And Implants, P.C.'s NPI number?

The NPI number for Great Lakes Oral Surgery And Implants, P.C. is 1902993819. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Greater Michigan Oral Surgeons & Dental Implant Center. The provider was formerly known as Oral and Maxillofacial Surgery, P.C..

Where is Great Lakes Oral Surgery And Implants, P.C. located?

Great Lakes Oral Surgery And Implants, P.C. is located at 5417 Gateway Ctr, Flint, MI 48507. The listed phone number is (810) 424-0705.

What is Great Lakes Oral Surgery And Implants, P.C.'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 Great Lakes Oral Surgery And Implants, P.C. was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.