ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC (NPI# 1548283559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548283559 |
| Entity Type | Organization |
| Organization Name | ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC |
| Practice Address |
4500 Cascade Rd Se Suite #208 Grand Rapids MI 49546-3665 |
| Practice Telephone | 6169775000 |
| Practice Fax Number | 6169770020 |
| Mailing Telephone | 6169775000 |
| Mailing Fax Number | 6169770020 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KIM L ERICKSON (OWNER) |
| Authorized Official Telephone | 6169775000 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
KE011553 | MI | Dental Providers |
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
KE011553 | MI | Dental Providers |
| X | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
KE011553 | MI | Dental Providers |
| Street Address |
4500 CASCADE RD SE SUITE #208 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932554995 | Forest Hills Dental, P.C. | Dentist | 4500 Cascade Rd Se, Ste. 107, Grand Rapids, MI 49546-3665 | 2016-04-27 |
| 1336504760 | Grand Rapids Thoracic Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 Cascade Rd Se, Suite 210, Grand Rapids, MI 49546-3665 | 2015-12-30 |
| 1063826865 | Daniel Paul Lingenfelter | Dentist | 4500 Cascade Rd Se, Suite #107, Grand Rapids, MI 49546-3665 | 2014-06-19 |
| 1912165556 | Michel Marie Wicksall | Dentist | 4500 Cascade Rd Se, 200, Grand Rapids, MI 49546 | 2008-05-30 |
| 1740307321 | James L Eldersveld | Dentist | 4500 Cascade Rd Se, Suite 100, Grand Rapids, MI 49546-3665 | 2007-03-26 |
| 1013032010 | Mark Louis Salhaney | Dentist | 4500 Cascade Rd Se, Ste. 107, Grand Rapids, MI 49546-3665 | 2007-03-20 |
| 1124101712 | Mobile Anesthesiologists of Michigan Pllc | Anesthesiology | 4500 Cascade Rd Se, Grand Rapids, MI 49546-3665 | 2006-10-24 |
| 1568486769 | Kim L Erickson | Dentist | 4500 Cascade Rd Se, Suite #208, Grand Rapids, MI 49546-3665 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568486769 | Kim L Erickson | Dentist | 4500 Cascade Rd Se, Suite #208, Grand Rapids, MI 49546-3665 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942468186 | Mid Michigan Oral Surgery | Dentist | 1040 Charlevoix Dr, Grand Ledge, MI 48837-2417 | 2008-05-23 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| 1235273152 | Oral and Maxillofacial Surgery Associates of Michigan, P.C. | Dentist | 32905 W 12 Mile Rd Ste 200, Farmington Hills, MI 48334-3344 | 2007-02-16 |
| 1063440543 | Fredric L Bonine | Dentist | 6893 Grand River Rd, Brighton, MI 48114-9345 | 2006-06-30 |
| 1508805607 | Joseph Vincent Mauro | Dentist | 231 W. Lake Lansing Rd, Suite 200, East Lansing, MI 48823-8451 | 2006-06-05 |
| 1952397093 | Arvind Gulati | Dentist | 23655 Novi Rd Ste 103, Novi, MI 48375-5442 | 2005-09-23 |
| 1831194141 | Edwin J., Jr. Rennell | Dentist | 34441 8 Mile Rd, Ste 107, Livonia, MI 48152-4013 | 2005-06-15 |
| 1255333431 | Gary Harold Dwight | Dentist | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | 2005-06-01 |
| 1588900518 | Chia-cheng Li | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2012-12-19 |
| 1285889709 | Regents of The University of Michigan Oral Pathology | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2008-11-25 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.