OrganizationActive
Oral and Maxillofacial Surgery Services, PLC
NPI 1548283559 · Oral and Maxillofacial Radiology Dentistry · Grand Rapids, MI
Provider details
- NPI number
- 1548283559
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kim Erickson, Owner(616) 977-5000
- License
- KE011553 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4500 Cascade Rd Se
Suite #208
Grand Rapids, MI 49546-3665
Phone: (616) 977-5000
Fax: (616) 977-0020
Street-level locationGet directions
Mailing address
4500 Cascade Rd Se
Grand Rapids, MI 49546-3665
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.