Breakwater Oral And Maxillofacial Surgery Pllc

LBN: Breakwater Oral And Maxillofacial Surgery Pllc
Breakwater Oral And Maxillofacial Surgery Pllc is an health care organization with primary practice located at 6207 Harvey St Ste A , Norton Shores MI 49444-7861. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Breakwater Oral And Maxillofacial Surgery Pllc can be contacted via phone (231) 220-0500, or through Fairfield, Alexis via phone (231) 220-0500.

Contact Information

Primary practice address
6207 Harvey St Ste A Norton Shores MI 49444-7861
Fax: (231) 220-0300
Website:
Authorized official contact:
Name: Fairfield, Alexis

Health care specialties

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

Profile Details

NPI number 1487375218
LBN Legal business name Breakwater Oral And Maxillofacial Surgery Pllc
DBA Doing business as
Authorized official Fairfield, Alexis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2022
Last updated Aug 1st, 2023 - about last year

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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