GREAT LAKES ORAL AND MAXILLOFACIAL SURGERY P.C. is an oral and maxillofacial surgery dentist in Petoskey, MI. The provider is an oral and maxillofacial surgery dentist specialized in 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. GREAT LAKES ORAL AND MAXILLOFACIAL SURGERY P.C. NPI is 1760008528. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2325 SUMMIT PARK DR STE D
PETOSKEY, MI
ZIP 49770-774
Phone: (231) 487-1020
The provider's authorized official is Robert Scott Sheperd .
The authorized official title is Ceo/president and has the following contact phone number (231) 487-1020.
The enumeration date for this NPI number is 6/17/2020 and was last updated on 6/17/2020.