OrganizationActive
Breakwater Oral and Maxillofacial Surgery PLLC
NPI 1114856226 · Periodontics · Rochester, MI
Breakwater Oral and Maxillofacial Surgery PLLC is a Periodontics organization in Rochester, MI (NPI 1114856226).
Provider details
- NPI number
- 1114856226
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Parent organization
- Breakwater Oral and Maxillofacial Surgery PLLC
- Organization subpart
- Yes
- Authorized official
- Jenn Heritage, Credentialing Manager(402) 805-4516
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 W University Dr Ste 207
Rochester, MI 48307-1875
Phone: (402) 805-4516
Street-level locationGet directions
Mailing address
1000 W University Dr Ste 207
Rochester, MI 48307-1875
Other names (DBA / former)
- Doing business as
- Great Oaks Periodontics & Dental Implants
Registry dates
- Enumerated
- 2026-05-15
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Frequently asked questions
- What is Breakwater Oral and Maxillofacial Surgery PLLC's NPI number?
- Breakwater Oral and Maxillofacial Surgery PLLC's National Provider Identifier (NPI) is 1114856226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breakwater Oral and Maxillofacial Surgery PLLC?
- Breakwater Oral and Maxillofacial Surgery PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Breakwater Oral and Maxillofacial Surgery PLLC located?
- Breakwater Oral and Maxillofacial Surgery PLLC's practice location on file with NPPES is 1000 W University Dr Ste 207, Rochester, MI 48307-1875.
- What is Breakwater Oral and Maxillofacial Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Breakwater Oral and Maxillofacial Surgery PLLC is (402) 805-4516.
- Who is the authorized official for Breakwater Oral and Maxillofacial Surgery PLLC?
- The authorized official listed on Breakwater Oral and Maxillofacial Surgery PLLC's NPPES record is Jenn Heritage, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breakwater Oral and Maxillofacial Surgery PLLC's NPI active?
- Yes — Breakwater Oral and Maxillofacial Surgery PLLC's NPI (1114856226) is active in the NPPES registry as of the last update on 2026-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.