# WEST SHORE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLC

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

## Provider details

- **NPI number:** 1053458604
- **Authorized official:** MARK T. BURYE DDS (OWNER)
- **Authorized official phone:** (231) 733-1571

## Contact information

- **Practice address:** 5957 HARVEY ST, NORTON SHORES, MI 49444-9737
- **Practice address phone:** (231) 733-1571
- **Practice address fax:** (231) 733-5228
- **Mailing address:** 5957 HARVEY ST STE 200, NORTON SHORES, MI 49444-6735
- **Mailing address phone:** (231) 733-1571
- **Mailing address fax:** (231) 733-5228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | B7708N | MI | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 06/12/2020