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Great Lakes Oral Surgery PLLC — NPI 1801644042, Ann Arbor, MI | NPI Central

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NPI 1801644042

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Great Lakes Oral Surgery PLLC

NPI 1801644042 · Oral & Maxillofacial Surgery (D.M.D.) · Ann Arbor, MI

Provider details

NPI number: 1801644042
Entity type: Organization
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Joshua Deuel, Owner/Operator(269) 845-0671

Specialties & taxonomies

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000X
Allopathic & Osteopathic Physicians

Practice location

955 W Eisenhower Cir Ste G

Ann Arbor, MI 48103-5868

Phone: (269) 845-0671

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

2265 S Main St

Ann Arbor, MI 48103-5830

Other names (DBA / former)

Doing business as: Wisdom Tooth & Dental Implant Center

Registry dates

Enumerated: 2024-05-13
Last updated: 2024-05-13
Certified: 2024-05-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.