# ORAL SURGERY ASSOCIATES OF LANSING PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ionia Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881797983
- **Authorized official:** DR. JEFFREY E PERSICO DMD (OWNER)
- **Authorized official phone:** (517) 349-8383

## Contact information

- **Practice address:** 5238 W ST JOE HWY, SUITE 2, LANSING, MI 48917-4085
- **Practice address phone:** (517) 323-1000
- **Practice address fax:** (517) 886-5566
- **Mailing address:** 4201 OKEMOS RD, OKEMOS, MI 48864-3200
- **Mailing address phone:** (517) 349-8383
- **Mailing address fax:** (517) 349-5566

## 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:** 09/06/2006
- **Last updated:** 05/05/2015