NPI 1801644042

Great Lakes Oral Surgery PLLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Ann Arbor, MI

Practice location

Address: 955 W Eisenhower Cir STE G, Ann Arbor, MI 48103-5868
Phone: (269) 845-0671
Mailing address: 2265 S Main St, Ann Arbor, MI 48103-5830

Authorised official

Name: Joshua Allen Deuel
Title: Owner/Operator
Phone: (269) 845-0671

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Michigan →

Registry record

NPI: 1801644042
Entity type: Organization
NPI issued: 13 May 2024
Record last updated: 13 May 2024

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.