Breakwater Oral and Maxillofacial Surgery PLLC
NPI 1487375218 · Oral and Maxillofacial Surgery (Dentist) · Norton Shores, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Breakwater Oral and Maxillofacial Surgery PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Norton Shores, MI (NPI 1487375218).
Provider details
- NPI number
- 1487375218
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Alexis Fairfield, Insurance Coordinator(231) 220-0500
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-09-09
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
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 1487375218, 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 Oral and Maxillofacial Surgery (Dentist) (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 6207 Harvey St Ste a, Norton Shores, MI 49444-7861.
- 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 (231) 220-0500.
- Does Breakwater Oral and Maxillofacial Surgery PLLC accept Medicare?
- Breakwater Oral and Maxillofacial Surgery PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 Alexis Fairfield, Insurance Coordinator. 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 (1487375218) is active in the NPPES registry as of the last update on 2023-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.