Individual
JENNY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28626 TELEGRAPH RD, SOUTHFIELD, MI 48034-1934
(248) 647-7550
Mailing address
28626 TELEGRAPH RD, SOUTHFIELD, MI 48034-1934
(248) 647-7550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602318
MI
Other
Enumeration date
09/26/2024
Last updated
09/04/2025
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