Organization
LAKE MICHIGAN ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KEOUGH (CREDENTIALING REP)
(405) 848-7974
Entity
Organization
Contact information
Practice address
3950 HOLLYWOOD RD, 290, SAINT JOSEPH, MI 49085-9151
(405) 848-7974
(405) 848-0033
Mailing address
3000 UNITED FOUNDERS BLVD, 237, OKLAHOMA CITY, OK 73112-3958
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901018748
MI
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us