Mid Michigan Oral Surgery PC
NPI #1174516413 in East Lansing, Michigan
Provider Information
- NPI Number
- 1174516413
- Entity Type
- Organization
- Organization Name
- Mid Michigan Oral Surgery PC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Jun 25, 2024
Practice Location
- Address
- 325 W LAKE LANSING RD
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-8524
- Phone
- (517) 337-9759
Authorized Official
- Name
- VINCENT V BENIVEGNA, DDS
- Title
- DOCTOR OWNER VICE PRESIDENT
- Phone
- (517) 337-9759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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| DR. Sean E Pack, DDS MD |  AI Deep Dive |
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| DR. Mark E Beckman, D.D.S.,M.S. | AI Deep Dive |
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