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

Great Lakes Jaw Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1326291816

Great Lakes Jaw Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2017 Eastcastle Dr SE Ste C
Grand Rapids, MI 49508-8872
Phone: (616) 281-2370
Fax: (616) 281-2801
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 · Licence 2901011345 (MI)

Record details

NPI number1326291816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Rosema — Owner/ Oral Surgeon · (616) 281-2370
NPI enumeratedOctober 28, 2008
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address2017 Eastcastle Dr Se, Suite C, Grand Rapids, MI 49508-8872

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