Great Lakes Oral Surgery And Implants, P.c.
Oral and Maxillofacial Dental Clinic
5417 Gateway Ctr, Flint
Michigan, 48507-3980
810-424-0705 810-424-0750
Maps & DirectionsGreat Lakes Oral Surgery And Implants, P.c. is a Oral and Maxillofacial Dental Clinic in Flint, Michigan. This organization is also known as sub part of Great Lakes Oral Surgery And Implants, P.c.. It is located at 5417 Gateway Ctr, Flint, MI and its contact number is 810-424-0705. The authorized person for Great Lakes Oral Surgery And Implants, P.c. is Samantha A Kern
who is Credentialing & Billing of the clinic and their contact number is 810-424-0705.
Great Lakes Oral Surgery And Implants, 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:
Great Lakes Oral Surgery And Implants, 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: | Great Lakes Oral Surgery And Implants, P.c. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 5417 Gateway Ctr, Flint,
Michigan, 48507-3980 |
| Phone: | 810-424-0705 |
| Fax: | 810-424-0750 |
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: | Samantha A Kern |
| Position: | Credentialing & Billing |
| Contact Number: | 810-424-0705 |
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 Oral Surgery And Implants, P.c. clinic are as mentioned below.
| NPI Number: | 1902993819 |
| Parent Organization: | Great Lakes Oral Surgery And Implants, P.c. |
| NPI Enumeration Date: | 10 Oct, 2006 |
| NPI Last Update On: | 28 Aug, 2024 |
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 Oral Surgery And Implants, 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 |
| 2594587 | Medicaid | Michigan | |
| 9752562480 | Other | Michigan | Blue Cross Blue Shield |
| 4045904 | Medicaid | Michigan | |
| 975256759 | Other | Michigan | Blue Cross Blue Shield |
| 4417670 | Medicaid | Michigan | |
| 195256547 | Other | Michigan | Blue Cross Blue Shield |
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 Oral Surgery And Implants, P.c.
5417 Gateway Centre Blvd.,
Flint, Michigan |
| Zip: | 48507-3980 |
| Phone Number: | 810-424-0705 |
| Fax Number: | 810-424-0750 |
Patients can reach Great Lakes Oral Surgery And Implants, P.c. at
5417 Gateway Ctr, Flint, Michigan or can
call to book an appointment on 810-424-0705.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.