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Advanced Oral Surgery, Pllc

Oral and Maxillofacial Surgery (Dentist) in Grand Rapids, MI · enumerated 2019 · authorized official Mark Jesin, Manager.

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

National Provider Identifier

1508324732

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Oral Surgery, Pllc
Practice address 3855 Burton St Se Ste B, Grand Rapids, MI, 49546
Phone (616) 369-0360
Fax (616) 369-0361
Enumeration date Mar 6, 2019
Last updated in NPPES Mar 6, 2019

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Mark Jesin
Title Manager
Phone (616) 369-0360

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 the NPI number for Advanced Oral Surgery, Pllc?
The NPI for Advanced Oral Surgery, Pllc is 1508324732, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Advanced Oral Surgery, Pllc?
NPPES lists Mark Jesin (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-06.