# JEFFREY D. SEVENER, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pinnacle Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205844081
- **Authorized official:** DR. JEFFREY DAVID SEVENER D.D.S. (PRESIDENT)
- **Authorized official phone:** (231) 755-6515

## Contact information

- **Practice address:** 1827 W SHERMAN BLVD, MUSKEGON, MI 49441-3477
- **Practice address phone:** (231) 755-6515
- **Practice address fax:** (231) 755-9632
- **Mailing address:** 1827 W SHERMAN BLVD, MUSKEGON, MI 49441-3477
- **Mailing address phone:** (231) 755-6515
- **Mailing address fax:** (231) 755-9632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 17061 | MI | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4435015 | — | MI |