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Great Lakes Oral Surgery and Implants, P.C.

Oral and Maxillofacial Surgery (Dentist) in Flint, MI · enumerated 2006 · authorized official Samantha Kern, Credentialing & Billing.

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

National Provider Identifier

1902993819

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Oral Surgery and Implants, P.C.
Other name <Unavail>
Parent organization Great Lakes Oral Surgery and Implants, P.C.
Practice address 5417 Gateway Ctr, Flint, MI, 48507
Fax (810) 424-0750
Enumeration date Oct 10, 2006
Last updated in NPPES Aug 28, 2024

Taxonomy & classification

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

Authorized official

Name Samantha Kern
Title Credentialing & Billing

Other identifiers

Identifier Type State Issuer
2594587 Medicaid MI -
9752562480 Other MI BLUE CROSS BLUE SHIELD
4045904 Medicaid MI -
975256759 Other MI BLUE CROSS BLUE SHIELD
4417670 Medicaid MI -
195256547 Other MI BLUE CROSS BLUE SHIELD

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

Who is the authorized official for Great Lakes Oral Surgery and Implants, P.C.?
NPPES lists Samantha Kern (Credentialing & Billing) as the authorized official for this organization.
What is the NPI number for Great Lakes Oral Surgery and Implants, P.C.?
The NPI for Great Lakes Oral Surgery and Implants, P.C. is 1902993819, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-28.