# MID MICHIGAN ORAL SURGERY

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

## Provider details

- **NPI number:** 1861650095
- **Authorized official:** DR. MARK E BECKMAN DDS, MS (ORAL SURGEON / OWNER)
- **Authorized official phone:** (517) 337-9759

## Contact information

- **Practice address:** 110 N COCHRAN AVE, CHARLOTTE, MI 48813-1508
- **Practice address phone:** (517) 337-9759
- **Practice address fax:** (517) 337-8156
- **Mailing address:** 110 N COCHRAN AVE, CHARLOTTE, MI 48813-1508
- **Mailing address phone:** (517) 337-9759
- **Mailing address fax:** (517) 337-8156

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2008
- **Last updated:** 06/25/2024