Grand Traverse Oral Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GRAND TRAVERSE ORAL SURGERY, P.C.

Practice address

12776 S West Bay Shore Dr
Traverse City, MI 49684-5451

Phone

(231) 946-3512

Fax

(231) 946-1908

NPI assigned

Oct 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan J. Schlueter

Title

Office Manager

Phone

(231) 946-3512

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David W. Howard, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Traverse City, MI
  • NPI 1982651980
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1003095605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12776 S WEST BAY SHORE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845451",
            "telephone_number": "231-946-3512",
            "fax_number": "231-946-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12776 S WEST BAY SHORE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845451",
            "telephone_number": "231-946-3512",
            "fax_number": "231-946-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND TRAVERSE ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "SCHLUETER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-946-3512"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "0P21110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Traverse Heart Institute
• Grand Traverse Industries, Inc.
• Grand Traverse Internists, PC
• Grand Traverse Nutrition, LLC
• Grand Traverse Ophthalmology Clinic PC
• Grand Traverse Orthopedics PLLC
• Grand Traverse Pathology, PLLC
• Grand Traverse Pavilions
• Grand Traverse Pavilions Home Healthcare
• Grand Traverse Physical Therapy, P.C.

• Oral and Maxillofacial Surgery (Dentist) in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.