OrganizationActive
Bay Area Oral & Maxillofacial Surgery, P.C.
NPI 1972750826 · Oral and Maxillofacial Surgery (Dentist) · Traverse City, MI
Provider details
- NPI number
- 1972750826
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Lucinda Michelin, Practice Administration(231) 933-1220
- License
- 2901013774 (MI)
Specialties & taxonomies
Dental Providers
Practice location
4110 Copper Ridge Dr
Suite 210
Traverse City, MI 49684-6722
Phone: (231) 933-1220
Fax: (231) 933-1225
Approximate (ZIP-level) locationGet directions
Mailing address
4110 Copper Ridge Dr
Traverse City, MI 49684-6722
Registry dates
- Enumerated
- 2008-08-22
- Last updated
- 2008-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.