# WEST SHORE ORTHODONTICS

> 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:** Drs Hogan & Dickinson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992816177
- **Authorized official:** MRS. MICHELLE L STOUT (FRONT DESK SUPERVISOR)
- **Authorized official phone:** (231) 737-0001

## Contact information

- **Practice address:** 1150 E SHERMAN BLVD, SUITE 2700, MUSKEGON, MI 49444
- **Practice address phone:** (231) 737-0001
- **Practice address fax:** (231) 737-9298
- **Mailing address:** 1150 E SHERMAN BLVD, SUITE 2700, MUSKEGON, MI 49444
- **Mailing address phone:** (231) 737-0001
- **Mailing address fax:** (231) 737-9298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901007277 | MI | — |
| 122300000X | Dentist | 2901011382 | MI | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020