Oral and Maxillofacial Surgery Services, PLC
Oral and Maxillofacial Surgery Services, PLC is an Oral and Maxillofacial Pathology Dentistry in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
4500 Cascade Rd SE Ste #208Grand Rapids, MI 49546-3665
Phone: (616) 977-5000
Fax: (616) 977-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Radiology Dentistry (primary) | Taxonomy 1223X0008X · Licence KE011553 (MI) |
|---|---|
| Oral and Maxillofacial Pathology Dentistry | Taxonomy 1223P0106X · Licence KE011553 (MI) |
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence KE011553 (MI) |
Record details
| NPI number | 1548283559 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Erickson — Owner · (616) 977-5000 |
| NPI enumerated | July 25, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 4500 Cascade Rd Se, Suite #208, Grand Rapids, MI 49546-3665 |
Other providers in Grand Rapids
-
Dr. Kim L Erickson, DDS
4500 Cascade Rd SE Ste #208, Grand Rapids, MI 49546-3665 · (616) 977-5000