Great Lakes Oral Surgery, P.C.
NPI 1174858419 · Oral and Maxillofacial Surgery (Dentist) · Fulton, NY
Great Lakes Oral Surgery, P.C. is a Oral and Maxillofacial Surgery (Dentist) organization in Fulton, NY (NPI 1174858419).
Provider details
- NPI number
- 1174858419
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- David Macgregor, Owner(315) 343-6160
Specialties & taxonomies
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2009-10-05
- Last updated
- 2019-01-31
Frequently asked questions
- What is Great Lakes Oral Surgery, P.C.'s NPI number?
- Great Lakes Oral Surgery, P.C.'s National Provider Identifier (NPI) is 1174858419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Oral Surgery, P.C.?
- Great Lakes Oral Surgery, P.C. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Great Lakes Oral Surgery, P.C. located?
- Great Lakes Oral Surgery, P.C.'s practice location on file with NPPES is 633 W. 3rd St. S., Fulton, NY 13069.
- What is Great Lakes Oral Surgery, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Oral Surgery, P.C. is (315) 343-6160.
- Who is the authorized official for Great Lakes Oral Surgery, P.C.?
- The authorized official listed on Great Lakes Oral Surgery, P.C.'s NPPES record is David Macgregor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Oral Surgery, P.C.'s NPI active?
- Yes — Great Lakes Oral Surgery, P.C.'s NPI (1174858419) is active in the NPPES registry as of the last update on 2019-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.