Organization
BAY AREA ORAL & MAXILLOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCINDA K MICHELIN (PRACTICE ADMINISTRATION)
(231) 933-1220
Entity
Organization
Contact information
Practice address
4110 COPPER RIDGE DR, SUITE 210, TRAVERSE CITY, MI 49684-6722
(231) 933-1220
(231) 933-1225
Mailing address
4110 COPPER RIDGE DR, SUITE 210, TRAVERSE CITY, MI 49684-6722
(231) 933-1220
(231) 933-1225
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901013774
MI
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up