# NORTHERN MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC

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

## Provider details

- **NPI number:** 1154483014
- **Authorized official:** DR. JAMES OSETEK DMD (OWNER)
- **Authorized official phone:** (231) 347-1601

## Contact information

- **Practice address:** 322 BAY ST, PETOSKEY, MI 49770-2489
- **Practice address phone:** (231) 347-1601
- **Mailing address:** 322 BAY ST, PETOSKEY, MI 49770-2489
- **Mailing address phone:** (231) 347-1601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901013255 | MI | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 04/20/2008