Great Lakes Oral and Maxillofacial Surgery P.c.

NPI #1760008528 in Petoskey, Michigan

Provider Information

NPI Number: 1760008528
Entity Type: Organization
Organization Name: Great Lakes Oral and Maxillofacial Surgery P.c.
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Jun 17, 2020
Last Updated: Jun 17, 2020

Practice Location

Address: 2325 SUMMIT PARK DR STE D
City: Petoskey
State: Michigan
ZIP Code: 49770-8774
Phone: (231) 487-1020

Authorized Official

Name: DR. ROBERT SCOTT SHEPERD, DDS
Title: CEO/PRESIDENT
Phone: (231) 487-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. James J Osetek, DMD	Dentist - Oral and Maxillofacial Surgery	Petoskey	AI Deep Dive
DR. William James Gallo, DDS	Dentist - Oral and Maxillofacial Surgery	Petoskey	AI Deep Dive
DR. Robert Scott Sheperd, DDS	Dentist - Oral and Maxillofacial Surgery	Petoskey	AI Deep Dive
DR. Cass Anthony Radecki, D.D.S.	Dentist - Oral and Maxillofacial Surgery	Saline	AI Deep Dive

Organizations

Provider Name	Specialty	City
Northern Michigan Oral and Maxillofacial Surgery PC	Dentist - Oral and Maxillofacial Surgery	Petoskey	AI Deep Dive

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