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

Great Lakes Oral Surgery PLLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1801644042

Great Lakes Oral Surgery PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in Ann Arbor, Michigan. Registered with an NPI since 2024.

In the registry since
2024
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

955 W Eisenhower Cir Ste G
Ann Arbor, MI 48103-5868
Phone: (269) 845-0671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1801644042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Deuel — Owner/Operator · (269) 845-0671
Other names Wisdom Tooth & Dental Implant Center
NPI enumeratedMay 13, 2024
Last updated in NPPESMay 13, 2024
Certification dateMay 12, 2024
Mailing address2265 S Main St, Ann Arbor, MI 48103-5830

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