# YANCY A. TYGESEN, D.D.S., M.S.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538371380
- **Authorized official:** DR. YANCY A. TYGESEN D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (517) 347-7777

## Contact information

- **Practice address:** 2395 JOLLY RD, SUITE 130, OKEMOS, MI 48864-3662
- **Practice address phone:** (517) 347-7777
- **Practice address fax:** (517) 347-2037
- **Mailing address:** 2395 JOLLY RD, SUITE 130, OKEMOS, MI 48864-3662
- **Mailing address phone:** (517) 347-7777
- **Mailing address fax:** (517) 347-2037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 2901016661 | MI | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020