Organization Active NPI

West Michigan Oral and Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Holland, MI
National Provider Identifier
1326197880
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
Practice address
601 Michigan Ave
Suite 200
Holland, MI 49423-4951
Phone
(616) 530-4710
Fax
(616) 530-0480
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Robin Bradford
Title
Practice Manager
Phone
(616) 392-2329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

601 Michigan Ave
Suite 200
Holland, MI 49423-4951

Mailing address

601 Michigan Ave
Suite 200
Holland, MI 49423-4951
Phone (616) 530-4710

Other names 1

  • WEST MICHIGAN ORAL SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

919 S Beechtree St
Ste 8
Grand Haven, MI 49417
Phone (616) 834-1308

4330 44th St SW
Ste 106
Grandville, MI 49418
Phone (616) 530-4710

4330 44th St SW
Grandville, MI 49418
Phone (616) 530-4710

601 Michigan Ave
Ste 200
Holland, MI 49423
Phone (616) 392-2329

12350 Riley St
Holland, MI 49424
Phone (616) 738-9900

12662 Riley St
Ste 130
Holland, MI 49424
Phone (616) 399-6811

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1326197880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MICHIGAN AVE",
            "address_2": "SUITE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234951",
            "telephone_number": "616-530-4710",
            "fax_number": "616-530-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MICHIGAN AVE",
            "address_2": "SUITE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234951",
            "telephone_number": "616-530-4710",
            "fax_number": "616-530-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "616-392-2329"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST MICHIGAN ORAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.