Great Lakes Oral Surgery and Implants, P.C.
NPI 1902993819 · Oral and Maxillofacial Surgery (Dentist) · Flint, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Oral Surgery and Implants, P.C. is a Oral and Maxillofacial Surgery (Dentist) organization in Flint, MI (NPI 1902993819).
Provider details
- NPI number
- 1902993819
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Great Lakes Oral Surgery and Implants, P.C.
- Organization subpart
- Yes
- Authorized official
- Samantha Kern, Credentialing & Billing(810) 424-0705
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Greater Michigan Oral Surgeons & Dental Implant Center
- Former legal business name
- Oral and Maxillofacial Surgery, P.C.
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Frequently asked questions
- What is Great Lakes Oral Surgery and Implants, P.C.'s NPI number?
- Great Lakes Oral Surgery and Implants, P.C.'s National Provider Identifier (NPI) is 1902993819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Oral Surgery and Implants, P.C.?
- Great Lakes Oral Surgery and Implants, P.C. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Great Lakes Oral Surgery and Implants, P.C. located?
- Great Lakes Oral Surgery and Implants, P.C.'s practice location on file with NPPES is 5417 Gateway Ctr, Flint, MI 48507-3980.
- What is Great Lakes Oral Surgery and Implants, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Oral Surgery and Implants, P.C. is (810) 424-0705.
- Does Great Lakes Oral Surgery and Implants, P.C. accept Medicare?
- Great Lakes Oral Surgery and Implants, P.C. 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 Great Lakes Oral Surgery and Implants, P.C.?
- The authorized official listed on Great Lakes Oral Surgery and Implants, P.C.'s NPPES record is Samantha Kern, Credentialing & Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Oral Surgery and Implants, P.C.'s NPI active?
- Yes — Great Lakes Oral Surgery and Implants, P.C.'s NPI (1902993819) is active in the NPPES registry as of the last update on 2024-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.