Organization
JANA TUMPKIN MCQUEEN D.D.S. PC
Active
Organization
JANA TUMPKIN MCQUEEN D.D.S. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA TUMPKIN MCQUEEN DDS (OWNER)
(248) 559-4800
Entity
Organization
Contact information
Practice address
29702 SOUTHFIELD RD STE H, SOUTHFIELD, MI 48076-2096
(248) 559-4800
Mailing address
29702 SOUTHFIELD RD STE H, SOUTHFIELD, MI 48076-2096
(248) 559-4800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901015114
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2485594800
ORTHODONTIST
MI
Enumeration date
02/22/2007
Last updated
08/22/2020
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