Individual
DR. JEFFREY STEPHEN TOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,FACS
Contact information
Practice address
6022 W MAPLE RD STE 405, WEST BLOOMFIELD, MI 48322-4408
(248) 855-2006
(248) 855-0571
Mailing address
25455 YORK RD, ROYAL OAK, MI 48067-3021
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901009517
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021382
—
MI
05
—
2990561
—
MI
01
—
970F31085
BCBSM
MI
01
—
JT009517
LICENSE NUMBER
MI
Enumeration date
11/16/2005
Last updated
09/24/2018
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