# BATTLE CREEK ORAL AND MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1548443294
- **Authorized official:** MRS. WENDY H LEWIS (OFFICE)
- **Authorized official phone:** (269) 965-1339

## Contact information

- **Practice address:** 3610 CAPITAL AVENUE SW, BATTLE CREEK, MI 49015
- **Practice address phone:** (269) 965-1339
- **Practice address fax:** (269) 965-2281
- **Mailing address:** 3610 CAPITAL AVENUE SW, BATTLE CREEK, MI 49015
- **Mailing address phone:** (269) 965-1339
- **Mailing address fax:** (269) 965-2281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11052 | MI | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14976 | MI | — |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 12/17/2007