Legacy Oral and Facial Surgery Center PC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1841862232

Legacy Oral and Facial Surgery Center PC is an Oral and Maxillofacial Surgery Clinic/Center in Ann Arbor, Michigan. Registered with an NPI since 2021.

In the registry since: 2021

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

2521 Jackson Ave
Ann Arbor, MI 48103-3818
Phone: (734) 210-0677
Fax: (734) 210-1273

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary)	Taxonomy 261QS0112X

Record details

NPI number	1841862232
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dalbert Fear — Owner · (734) 395-9532
NPI enumerated	July 14, 2021
Last updated in NPPES	July 14, 2021
Certification date	July 14, 2021
Mailing address	3706 Creekside Ct, Ann Arbor, MI 48105-9570