Breakwater Oral and Maxillofacial Surgery Pllc
NPI #1487375218 in Norton Shores, Michigan
Provider Information
- NPI Number
- 1487375218
- Entity Type
- Organization
- Organization Name
- Breakwater Oral and Maxillofacial Surgery Pllc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Sep 9, 2022
- Last Updated
- Aug 1, 2023
Practice Location
- Address
- 6207 HARVEY ST STE A
- City
- Norton Shores
- State
- Michigan
- ZIP Code
- 49444-7861
- Phone
- (231) 220-0500
Authorized Official
- Name
- ALEXIS FAIRFIELD
- Title
- INSURANCE COORDINATOR
- Phone
- (231) 220-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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