Great 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.