# TRUFORM SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TruForm Surgery Lansing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912881632
- **Authorized official:** DR. BRITTANY KY EIDSON DDS, FACS (OWNER)
- **Authorized official phone:** (517) 321-3236

## Contact information

- **Practice address:** 4124 W ST JOE HWY, LANSING, MI 48917-5205
- **Practice address phone:** (517) 321-3236
- **Mailing address:** 1390 SHADY CREST DR, HARTLAND, MI 48353-3321
- **Mailing address phone:** (330) 338-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2025
- **Last updated:** 08/05/2025