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Great Lakes Oral Surgery, P.C.

Oral and Maxillofacial Surgery (Dentist) in Fulton, NY · enumerated 2009 · authorized official David Macgregor, Owner.

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

National Provider Identifier

1174858419

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Oral Surgery, P.C.
Practice address 633 W. 3rd St. S., Fulton, NY, 13069
Phone (315) 343-6160
Fax (315) 343-8556
Enumeration date Oct 5, 2009
Last updated in NPPES Jan 31, 2019

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 051594 (NY) Primary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary

Authorized official

Name David Macgregor
Title Owner
Phone (315) 343-6160

Other identifiers

Identifier Type State Issuer
03118614 Medicaid NY -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-01-31. Verify at npiregistry.cms.hhs.gov.
Where is Great Lakes Oral Surgery, P.C. located?
The practice location on file with NPPES is in Fulton, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-31.