# CENTERPOINTE ORAL AND MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1245692425
- **Authorized official:** DR. BROCK C MCKINLEY DDS (PRESIDENT / CEO)
- **Authorized official phone:** (231) 487-9000

## Contact information

- **Practice address:** 18530 MACK AVE, SUITE 192, GROSSE POINTE FARMS, MI 48236-3254
- **Practice address phone:** (231) 487-9000
- **Mailing address:** 18530 MACK AVE, SUITE 192, GROSSE POINTE FARMS, MI 48236-3254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | L839484 | MI | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 03/25/2016