NPI 1003095605

Grand Traverse Oral Surgery, P.C.

Organisation Oral and Maxillofacial Surgery (Dentist) Traverse City, MI

Practice location

Address: 12776 S West Bay Shore Dr, Traverse City, MI 49684-5451
Phone: (231) 946-3512
Fax: (231) 946-1908

Authorised official

Name: Susan J. Schlueter
Title: Office Manager
Phone: (231) 946-3512

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X

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Registry record

NPI: 1003095605
Entity type: Organization
NPI issued: 31 Oct 2007
Record last updated: 19 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.