THIRD COAST ORAL & MAXILLOFACIAL SURGERY; NPI #1902551351

Contact Information

THIRD COAST ORAL & MAXILLOFACIAL SURGERY

2119 64TH ST SW
BYRON CENTER, MI 49315-9409

Phone: 616-217-3632
Fax: 616-217-3634
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for THIRD COAST ORAL & MAXILLOFACIAL SURGERY

NPI # 1902551351

LBN Legal business name THIRD COAST ORAL & MAXILLOFACIAL SURGERY

Authorized official ANNIKA SCHOTT - (FINANCIAL COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/15/2022

Last updated 02/15/2022 - About 4 years ago

Identifiers

MI	Other	1811378508	NPI
MI	Other	1811378508	NPPES

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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