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Breakwater Oral and Maxillofacial Surgery Pllc

Periodontics in Rochester, MI · enumerated 2026 · authorized official Jenn Heritage, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114856226

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Registry record

Entity type Organization (Type 2)
Legal business name Breakwater Oral and Maxillofacial Surgery Pllc
Parent organization Breakwater Oral and Maxillofacial Surgery Pllc
Practice address 1000 W University Dr Ste 207, Rochester, MI, 48307
Phone (947) 222-1667
Fax (947) 222-1647
Enumeration date May 15, 2026
Last updated in NPPES Jun 15, 2026

Taxonomy & classification

1223P0300X Periodontics Dental Providers Primary

Authorized official

Name Jenn Heritage
Title Credentialing Manager
Phone (402) 805-4516

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Breakwater Oral and Maxillofacial Surgery Pllc?
Breakwater Oral and Maxillofacial Surgery Pllc is registered in NPPES as a Periodontics (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-15.