Individual
MRS. JEANNIENE SHAREN NEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1419 N. STATE ST., BIG RAPIDS, MI 49307-9749
(231) 796-4409
(231) 796-2694
Mailing address
15460 16 MILE RD, RODNEY, MI 49342-9625
(231) 832-5621
(231) 832-5643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15720
MI
Other
Enumeration date
05/15/2007
Last updated
12/23/2008
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