Great Lakes Jaw Surgery, Pc
Oral and Maxillofacial Dental Clinic
2017 Eastcastle Dr Se, Suite C, Grand Rapids
Michigan, 49508-8872
616-281-2370 616-281-2801
Maps & DirectionsGreat Lakes Jaw Surgery, Pc is a Oral and Maxillofacial Dental Clinic in Grand Rapids, Michigan. It is located at 2017 Eastcastle Dr Se, Suite C, Grand Rapids, MI and its contact number is 616-281-2370. The authorized person for Great Lakes Jaw Surgery, Pc is Dr. Robert John Rosema
who is Owner/ Oral Surgeon of the clinic and their contact number is 616-281-2370. The primary license number for Great Lakes Jaw Surgery, Pc is 2901011345 (Oral and Maxillofacial Surgery) in Michigan.
Great Lakes Jaw Surgery, Pc 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:
Great Lakes Jaw Surgery, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Great Lakes Jaw Surgery, Pc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 2017 Eastcastle Dr Se, Suite C, Grand Rapids,
Michigan, 49508-8872 |
| Phone: | 616-281-2370 |
| Fax: | 616-281-2801 |
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: | Dr. Robert John Rosema |
| Position: | Owner/ Oral Surgeon |
| Contact Number: | 616-281-2370 |
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 Great Lakes Jaw Surgery, Pc clinic are as mentioned below.
| NPI Number: | 1326291816 |
| NPI Enumeration Date: | 28 Oct, 2008 |
| NPI Last Update On: | 28 Jul, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Jaw Surgery, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 2901011345 | Michigan | 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 |
| 10-2978271 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Great Lakes Jaw Surgery, Pc
2017 Eastcastle Dr Se, Suite C
Grand Rapids, Michigan |
| Zip: | 49508-8872 |
| Phone Number: | 616-281-2370 |
| Fax Number: | 616-281-2801 |
Patients can reach Great Lakes Jaw Surgery, Pc at
2017 Eastcastle Dr Se, Suite C, Grand Rapids, Michigan or can
call to book an appointment on 616-281-2370.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.