Organization
MCCOY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MCCOY DDS (CO OWNER)
(616) 538-6210
Entity
Organization
Contact information
Practice address
2330 44TH ST SE, GRAND RAPIDS, MI 49508-4700
(616) 538-6210
Mailing address
2330 44TH ST SE, GRAND RAPIDS, MI 49508-4700
(616) 538-6210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12826
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265599807
NPI
MI
Enumeration date
06/19/2017
Last updated
07/21/2022
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