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

Dr. Sean E Pack, DDSMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1083901425

Dr. Sean E Pack, DDSMD is an Oral Surgery in East Lansing, Michigan. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2016, 10 years ago. Practices with Mid Michigan Oral Surgery PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
MI
In the registry since
2011

Practice location Address checks out

325 W Lake Lansing Rd
East Lansing, MI 48823-8524
Phone: (517) 337-9759
Fax: (517) 337-8156
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2901022038 (MI)

Record details

NPI number1083901425
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMD
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESDecember 20, 2022
Certification dateDecember 9, 2022
Mailing address325 W Lake Lansing Rd, East Lansing, MI 48823-8524

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Mid Michigan Oral Surgery Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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