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

Great Lakes Oral Surgery and Implants, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1902993819

Great Lakes Oral Surgery and Implants, PC is an Oral and Maxillofacial Surgery (Dentist) in Flint, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5417 Gateway Ctr
Flint, MI 48507-3980
Phone: (810) 424-0705
Fax: (810) 424-0750
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 number1902993819
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreat Lakes Oral Surgery and Implants, PC
Authorized official Samantha Kern — Credentialing & Billing · (810) 424-0705
Other names Greater Michigan Oral Surgeons & Dental Implant Center; Oral And Maxillofacial Surgery, P.C.
NPI enumeratedOctober 10, 2006
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address5417 Gateway Centre Blvd., Flint, MI 48507-3980

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