National Provider Identifier Database

CENTRAL MICHIGAN GROUP
Oral and Maxillofacial Surgery

The specialty of dentistry which includes 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.


Contact Information

CENTRAL MICHIGAN GROUP
231 W LAKE LANSING RD STE 200
EAST LANSING, MI48823-8451
Phone: 517-272-0886
Fax: 517-272-0887
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CENTRAL MICHIGAN GROUP

NPI Number 1124540240
Legal business name
LBN
CENTRAL MICHIGAN GROUP
Authorized official JOESPH MAURO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/11/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: JM012412
  • MI Other: 5330109 BLUE CROSS BLUE SHIELD OF MICHIGAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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