Grand Traverse Oral Surgery, P.c.
Oral and Maxillofacial Dental Clinic
12776 S West Bay Shore Dr, Traverse City
Michigan, 49684-5451
231-946-3512 231-946-1908
Maps & DirectionsGrand Traverse Oral Surgery, P.c. is a Oral and Maxillofacial Dental Clinic in Traverse City, Michigan. It is located at 12776 S West Bay Shore Dr, Traverse City, MI and its contact number is 231-946-3512. The authorized person for Grand Traverse Oral Surgery, P.c. is Susan J. Schlueter
who is Office Manager of the clinic and their contact number is 231-946-3512. Other organizations associated with this clinic are Grand Traverse Oral Surgery, P.c., Northway And Hall Orthodontics Pllc,
Grand Traverse Oral Surgery, P.c. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Grand Traverse Oral Surgery, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Grand Traverse Oral Surgery, P.c. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 12776 S West Bay Shore Dr, Traverse City,
Michigan, 49684-5451 |
| Phone: | 231-946-3512 |
| Fax: | 231-946-1908 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Susan J. Schlueter |
| Position: | Office Manager |
| Contact Number: | 231-946-3512 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grand Traverse Oral Surgery, P.c. clinic are as mentioned below.
| NPI Number: | 1003095605 |
| NPI Enumeration Date: | 31 Oct, 2007 |
| NPI Last Update On: | 19 Mar, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Grand Traverse Oral Surgery, P.c. | Oral and Maxillofacial Surgery | 1003095605 |
| Northway And Hall Orthodontics Pllc | Orthodontics and Dentofacial Orthopedics | 1003903741 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Traverse Oral Surgery, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0P21110 | Other | Michigan | Medicare Group # |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Grand Traverse Oral Surgery, P.c.
12776 S West Bay Shore Dr,
Traverse City, Michigan |
| Zip: | 49684-5451 |
| Phone Number: | 231-946-3512 |
| Fax Number: | 231-946-1908 |
Patients can reach Grand Traverse Oral Surgery, P.c. at
12776 S West Bay Shore Dr, Traverse City, Michigan or can
call to book an appointment on 231-946-3512.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.