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BAY AREA ORAL & MAXILLOFACIAL SURGERY, P.C.
NPI 1972750826
Dentist - Oral and Maxillofacial Surgery in Traverse City, MI

Active since August 22, 2008
4110 COPPER RIDGE DR, SUITE 210, TRAVERSE CITY, MI 49684(231) 933-1220(231) 933-1225 Get Directions Write a Review

NPPES record last updated: August 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bay Area Oral & Maxillofacial Surgery, P.c. NPPES

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

BAY AREA ORAL & MAXILLOFACIAL SURGERY, P.C. (NPI 1972750826) is a healthcare organization registered as an oral and maxillofacial surgery in Traverse City, Michigan and active in the NPI registry since August 2008. The organization lists Lucinda K Michelin, Practice Administration, as its authorized official.

NPPES Registry Identity

NPI1972750826
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBAY AREA ORAL & MAXILLOFACIAL SURGERY, P.C.
Location Address4110 COPPER RIDGE DR, SUITE 210Traverse City, MI 49684-6722
Mailing Address4110 Copper Ridge Dr, Suite 210Traverse City, MI 49684-6722 · (231) 933-1220 · Fax (231) 933-1225
Phone(231) 933-1220
Fax(231) 933-1225
Organization SubpartNo
Authorized OfficialLucinda K MichelinPractice Administration · (231) 933-1220
Enumeration DateAugust 22, 2008
✔ NPI 1972750826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901013774
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.
4110 COPPER RIDGE DR, Traverse City, MI 49684
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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 6

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

DR. ROBERT J LYONS D.C.
Chiropractor
4110 COPPER RIDGE DR, STE. 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 943-2229
DR. CHRISTOPHER CARSON JEFFRIES M.D.
Plastic Surgery
4110 COPPER RIDGE DR, SUITE 242
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-7700
STEVEN V THOMAS MD
Plastic Surgery
4110 COPPER RIDGE DR, STE 242 BLDG D
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-7700
THE CENTER FOR PLASTIC SURGERY OF NORTHERN MICHIGAN
Specialist
4110 COPPER RIDGE DR, SUITE 242
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-7700
KAREN A TOSIELLO PA-C
Physician Assistant (Surgical)
4110 COPPER RIDGE DR, SUITE 242
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-7700
DOUGLAS ALBRIGHT OT
Occupational Therapist
4110 COPPER RIDGE DR, STE 202
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 486-6138

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 Bay Area Oral & Maxillofacial Surgery, P.C.'s NPI number?

The NPI number for Bay Area Oral & Maxillofacial Surgery, P.C. is 1972750826. It was assigned to this organization in the NPPES registry on August 22, 2008.

Where is Bay Area Oral & Maxillofacial Surgery, P.C. located?

Bay Area Oral & Maxillofacial Surgery, P.C. is located at 4110 Copper Ridge Dr Suite 210, Traverse City, MI 49684. The listed phone number is (231) 933-1220.

What is Bay Area Oral & Maxillofacial Surgery, 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 Bay Area Oral & Maxillofacial Surgery, P.C. was last updated on August 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.