# PREMIER ORAL SURGERY AND IMPLANTS, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033594411
- **Authorized official:** MS. TRESHA KAYE YORTON (OFFICE MANAGER)
- **Authorized official phone:** (810) 445-9970

## Contact information

- **Practice address:** 5090 E HILL RD, GRAND BLANC, MI 48439-7637
- **Practice address phone:** (810) 445-9970
- **Practice address fax:** (810) 445-9971
- **Mailing address:** 5090 E HILL RD, GRAND BLANC, MI 48439-7637
- **Mailing address phone:** (810) 445-9970
- **Mailing address fax:** (810) 445-9971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901017170 | MI | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | MI | Yes |

## Other

- **Enumeration date:** 07/27/2015
- **Last updated:** 10/29/2020