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

Third Coast Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1902551351

Third Coast Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Byron Center, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2119 64th St SW
Byron Center, MI 49315-9409
Phone: (616) 217-3632
Fax: (616) 217-3634
Show map & directions

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 number1902551351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annika Schott — Financial Coordinator · (616) 583-7307
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address2119 64th St Sw, Byron Center, MI 49315-9409