# WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** WEST MICHIGAN ORAL SURGERY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326197880
- **Authorized official:** ROBIN BRADFORD (PRACTICE MANAGER)
- **Authorized official phone:** (616) 392-2329

## Contact information

- **Practice address:** 601 MICHIGAN AVE, SUITE 200, HOLLAND, MI 49423-4951
- **Practice address phone:** (616) 530-4710
- **Practice address fax:** (616) 530-0480
- **Mailing address:** 601 MICHIGAN AVE, SUITE 200, HOLLAND, MI 49423-4951
- **Mailing address phone:** (616) 530-4710
- **Mailing address fax:** (616) 530-0480

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 06/22/2026