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 Oral and Maxillofacial Surgery (Dentist) · NPI 1487375218

Breakwater Oral and Maxillofacial Surgery PLLC is an Oral and Maxillofacial Surgery (Dentist) in Norton Shores, Michigan. Registered with an NPI since 2022.

In the registry since
2022
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

6207 Harvey St Ste A
Norton Shores, MI 49444-7861
Phone: (231) 220-0500
Fax: (231) 220-0300
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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 number1487375218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Fairfield — Insurance Coordinator · (231) 220-0500
NPI enumeratedSeptember 9, 2022
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address6207 Harvey St Ste A, Norton Shores, MI 49444-7861

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