Lake Michigan Oral & Maxillofacial Surgery Pllc is a Oral and Maxillofacial Dental Clinic in Saint Joseph, Michigan. It is located at 3950 Hollywood Rd, 290, Saint Joseph, MI and its contact number is 405-848-7974. The authorized person for Lake Michigan Oral & Maxillofacial Surgery Pllc is Lisa Keough
who is Credentialing Rep of the clinic and their contact number is 405-848-7974. The primary license number for Lake Michigan Oral & Maxillofacial Surgery Pllc is 2901018748 (Oral and Maxillofacial Surgery) in Michigan. Lake Michigan Oral & Maxillofacial Surgery Pllc 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:
Lake Michigan Oral & Maxillofacial Surgery Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Lake Michigan Oral & Maxillofacial Surgery Pllc
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
3950 Hollywood Rd, 290, Saint Joseph, Michigan, 49085-9151
Phone:
405-848-7974
Fax:
405-848-0033
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:
Lisa Keough
Position:
Credentialing Rep
Contact Number:
405-848-7974
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 Lake Michigan Oral & Maxillofacial Surgery Pllc clinic are as mentioned below.
NPI Number:
1245544824
NPI Enumeration Date:
05 Aug, 2010
NPI Last Update On:
05 Aug, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Michigan Oral & Maxillofacial Surgery Pllc are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
2901018748
Michigan
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lake Michigan Oral & Maxillofacial Surgery Pllc 3000 United Founders Blvd, 237 Oklahoma City, Oklahoma
Zip:
73112-3958
Phone Number:
405-848-7974
Fax Number:
405-848-0033
Patients can reach Lake Michigan Oral & Maxillofacial Surgery Pllc at 3950 Hollywood Rd, 290, Saint Joseph, Michigan or can call to book an appointment on 405-848-7974. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.