Lake Michigan Oral & Maxillofacial Surgery PLLC
NPI 1245544824 · Oral and Maxillofacial Surgery (Dentist) · Saint Joseph, MI
Lake Michigan Oral & Maxillofacial Surgery PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Saint Joseph, MI (NPI 1245544824).
Provider details
- NPI number
- 1245544824
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Lisa Keough, Credentialing Rep(405) 848-7974
- License
- 2901018748 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2010-08-05
- Last updated
- 2010-08-05
Frequently asked questions
- What is Lake Michigan Oral & Maxillofacial Surgery PLLC's NPI number?
- Lake Michigan Oral & Maxillofacial Surgery PLLC's National Provider Identifier (NPI) is 1245544824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Michigan Oral & Maxillofacial Surgery PLLC?
- Lake Michigan Oral & Maxillofacial Surgery PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Lake Michigan Oral & Maxillofacial Surgery PLLC located?
- Lake Michigan Oral & Maxillofacial Surgery PLLC's practice location on file with NPPES is 3950 Hollywood Rd, Saint Joseph, MI 49085-9151.
- What is Lake Michigan Oral & Maxillofacial Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Michigan Oral & Maxillofacial Surgery PLLC is (405) 848-7974.
- Who is the authorized official for Lake Michigan Oral & Maxillofacial Surgery PLLC?
- The authorized official listed on Lake Michigan Oral & Maxillofacial Surgery PLLC's NPPES record is Lisa Keough, Credentialing Rep. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Michigan Oral & Maxillofacial Surgery PLLC's NPI active?
- Yes — Lake Michigan Oral & Maxillofacial Surgery PLLC's NPI (1245544824) is active in the NPPES registry as of the last update on 2010-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.