Advanced Oral Surgery, Pllc

LBN: Advanced Oral Surgery, Pllc
Advanced Oral Surgery, Pllc is an health care organization with primary practice located at 3855 Burton St Se Ste B , Grand Rapids MI 49546-6147. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Advanced Oral Surgery, Pllc can be contacted via phone (616) 369-0360, or through Jesin, Mark Leonard via phone (616) 369-0360.

Contact Information

Primary practice address
3855 Burton St Se Ste B Grand Rapids MI 49546-6147
Phone: (616) 369-0360
Fax: (616) 369-0361
Website:
Map and Directions
Authorized official contact:
Name: Jesin, Mark Leonard Doctor of Dental Surgery (DDS)
Phone: (616) 369-0360

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1508324732
LBN Legal business name Advanced Oral Surgery, Pllc
DBA Doing business as
Authorized official Jesin, Mark Leonard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2019
Last updated Mar 6th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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