Lake Michigan Oral & Maxillofacial Surgery PLLC
Lake Michigan Oral & Maxillofacial Surgery PLLC is an Oral and Maxillofacial Surgery (Dentist) in Saint Joseph, Michigan. Licensed in Michigan. Registered with an NPI since 2010.
- Licensed in
- MI
- In the registry since
- 2010
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3950 Hollywood Rd 290Saint Joseph, MI 49085-9151
Phone: (405) 848-7974
Fax: (405) 848-0033
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 2901018748 (MI) |
|---|
Record details
| NPI number | 1245544824 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Keough — Credentialing Rep · (405) 848-7974 |
| NPI enumerated | August 5, 2010 |
| Last updated in NPPES | August 5, 2010 |
| Mailing address | 3000 United Founders Blvd, 237, Oklahoma City, OK 73112-3958 |
Other providers in Saint Joseph
-
John M Kim DMD PC
3102 Niles Rd, Saint Joseph, MI 49085-8609 · (269) 429-7122
-
Dr. John Marion Kim, DMD
3102 Niles Rd, Saint Joseph, MI 49085-8609 · (269) 429-7122