Melvin J. Flamenbaum, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901011706 Issued in MI

Practice address

5417 Gateway Centre Blvd.
Flint, MI 48507-3980

Phone

(810) 424-0705

Fax

(810) 424-0750

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Lakes Oral Surgery and Implants, P.C.

  dba Greater Michigan Oral Surgeons & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Flint, MI
  • NPI 1902993819
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1639266547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 GATEWAY CENTRE BLVD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073980",
            "telephone_number": "810-424-0705",
            "fax_number": "810-424-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 GATEWAY CENTRE BLVD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073980",
            "telephone_number": "810-424-0705",
            "fax_number": "810-424-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAMENBAUM",
        "first_name": "MELVIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901011706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4045904",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April A Fisher, RN
• Deaja Lynae Fisher
• Sherry L Fisher, LLMSW
• Timothy Fisher, DP-ADC
• Patricia Gail Fitch, FNP
• Keziah Flanagan
• Cherish Lee Flater
• Flatrock Manor of Flint
• Flatrock Manor of Flint Township
• Linval Keith Fleetwood, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Flint, MI
• Providers in Flint, 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 Sep 13, 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.