Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Oral Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1508324732

Advanced Oral Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Grand Rapids, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3855 Burton St SE Ste B
Grand Rapids, MI 49546-6147
Phone: (616) 369-0360
Fax: (616) 369-0361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1508324732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jesin — Manager · (616) 369-0360
Other names Advanced Oral Surgery And Dental Implant Studio
NPI enumeratedMarch 6, 2019
Last updated in NPPESMarch 6, 2019
Mailing address3855 Burton St Se Ste B, Grand Rapids, MI 49546-6147

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