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

Breakwater Oral and Maxillofacial Surgery PLLC

Organization Periodontics · NPI 1114856226

Breakwater Oral and Maxillofacial Surgery PLLC is a Periodontics in Rochester, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1000 W University Dr Ste 207
Rochester, MI 48307-1875
Phone: (947) 222-1667
Fax: (947) 222-1647
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1114856226
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBreakwater Oral and Maxillofacial Surgery PLLC
Authorized official Jenn Heritage — Credentialing Manager · (402) 805-4516
Other names Great Oaks Periodontics & Dental Implants
NPI enumeratedMay 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1000 W University Dr Ste 207, Rochester, MI 48307-1875