OrganizationActive
Breakwater Oral and Maxillofacial Surgery PLLC
NPI 1487375218 · Oral and Maxillofacial Surgery (Dentist) · Norton Shores, MI
Provider details
- NPI number
- 1487375218
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Alexis Fairfield, Insurance Coordinator
Practice location
6207 Harvey St Ste a
Norton Shores, MI 49444-7861
Phone: (231) 220-0500
Fax: (231) 220-0300
Mailing address
6207 Harvey St Ste a
Norton Shores, MI 49444-7861
Registry dates
- Enumerated
- 2022-09-09
- Last updated
- 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.