Great Lakes Oral Surgery, P.c.
Oral and Maxillofacial Dental Clinic
633 W. 3rd St. S., Fulton
New York, 13069
315-343-6160 315-343-8556
Maps & DirectionsGreat Lakes Oral Surgery, P.c. is a Oral and Maxillofacial Dental Clinic in Fulton, New York. It is located at 633 W. 3rd St. S., Fulton, NY and its contact number is 315-343-6160. The authorized person for Great Lakes Oral Surgery, P.c. is Dr. David A. Macgregor
who is Owner of the clinic and their contact number is 315-343-6160. The primary license number for Great Lakes Oral Surgery, P.c. is 051594 (Oral and Maxillofacial Surgery) in New York.
Great Lakes 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:
Great Lakes 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: | Great Lakes Oral Surgery, P.c. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 633 W. 3rd St. S., Fulton,
New York, 13069 |
| Phone: | 315-343-6160 |
| Fax: | 315-343-8556 |
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. David A. Macgregor |
| Position: | Owner |
| Contact Number: | 315-343-6160 |
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, P.c. clinic are as mentioned below.
| NPI Number: | 1174858419 |
| NPI Enumeration Date: | 05 Oct, 2009 |
| NPI Last Update On: | 31 Jan, 2019 |
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, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 051594 | New York | Primary | |
| Oral and Maxillofacial Surgery | | | Secondary | |
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 |
| 03118614 | Medicaid | New York | |
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, P.c.
633 W. 3rd St. S.,
Fulton, New York |
| Zip: | 13069 |
| Phone Number: | 315-343-6160 |
| Fax Number: | 315-343-8556 |
Patients can reach Great Lakes Oral Surgery, P.c. at
633 W. 3rd St. S., Fulton, New York or can
call to book an appointment on 315-343-6160.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.