Individual
DR. JEFFREY THOMAS DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
601 MICHIGAN AVE STE 200, HOLLAND, MI 49423-4951
(616) 392-2329
Mailing address
4590 WREN DR SE, CALEDONIA, MI 49316-9288
(616) 560-2015
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901601286
MI
Other
Enumeration date
06/05/2017
Last updated
07/07/2022
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