Northern Michigan Oral and Maxillofacial Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901013255 Issued in MI

Legal business name

NORTHERN MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC

Practice address

322 Bay St
Petoskey, MI 49770-2489

Phone

(231) 347-1601

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Osetek, DMD

Title

Owner

Phone

(231) 347-1601

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• William F Jerome, D.D.S, M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlevoix, MI
  • NPI 1689848004
  NPD (past)
• Martina Peterson, DC

  • Chiropractor
  • East Jordan, MI
  • NPI 1033683677
  NPD (past)
• Richard James Bakeman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Augusta, GA
  • NPI 1790717452
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1154483014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 BAY ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702489",
            "telephone_number": "231-347-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BAY ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702489",
            "telephone_number": "231-347-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OSETEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-347-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901013255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1174507495",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1003892944",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Michigan Elder Care
• Northern Michigan Emergency Physicians, P.C
• Northern Michigan Hematology and Oncology
• Northern Michigan Medical Management
• Northern Michigan Musculoskeletal Medicine PLLC
• Northern Michigan Pain Specialists PC
• Northern Michigan Physical Medicine PC
• Northern Michigan Physical Medicine PLC
• Northern Michigan Rehabilitation Specialists, P.C.
• Northern Michigan Rheumatology PC

• Oral and Maxillofacial Surgery (Dentist) in Petoskey, MI
• Providers in Petoskey, 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 Apr 20, 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.