National Provider Identifier Database

THIRD COAST ORAL MAXILLOFACIAL SURGERY
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

THIRD COAST ORAL & MAXILLOFACIAL SURGERY
2119 64TH ST SW
BYRON CENTER, MI49315-9409
Phone: 616-217-3632
Fax: 616-217-3634
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for THIRD COAST ORAL & MAXILLOFACIAL SURGERY

NPI Number 1902551351
Legal business name
LBN
THIRD COAST ORAL & MAXILLOFACIAL SURGERY
Authorized official ANNIKA SCHOTT - (FINANCIAL COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 02/15/2022
Last updated 02/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 1811378508 NPI
  • MI Other: 1811378508 NPPES

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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