Great Lakes Jaw Surgery, PC
NPI 1326291816 · Oral and Maxillofacial Surgery (Dentist) · Grand Rapids, MI
Great Lakes Jaw Surgery, PC is a Oral and Maxillofacial Surgery (Dentist) organization in Grand Rapids, MI (NPI 1326291816).
Provider details
- NPI number
- 1326291816
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Robert Rosema, Owner/ Oral Surgeon(616) 281-2370
- License
- 2901011345 (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
17 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
- 2008-10-28
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Frequently asked questions
- What is Great Lakes Jaw Surgery, PC's NPI number?
- Great Lakes Jaw Surgery, PC's National Provider Identifier (NPI) is 1326291816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Jaw Surgery, PC?
- Great Lakes Jaw Surgery, PC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Great Lakes Jaw Surgery, PC located?
- Great Lakes Jaw Surgery, PC's practice location on file with NPPES is 2017 Eastcastle Dr Se, Grand Rapids, MI 49508-8872.
- What is Great Lakes Jaw Surgery, PC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Jaw Surgery, PC is (616) 281-2370.
- Who is the authorized official for Great Lakes Jaw Surgery, PC?
- The authorized official listed on Great Lakes Jaw Surgery, PC's NPPES record is Robert Rosema, Owner/ Oral Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Jaw Surgery, PC's NPI active?
- Yes — Great Lakes Jaw Surgery, PC's NPI (1326291816) is active in the NPPES registry as of the last update on 2020-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.