Individual
JEFFREY MARK HELMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2663 44TH ST SW, SUITE 204, WYOMING, MI 49519-4189
(616) 538-7320
(616) 538-7666
Mailing address
2663 44TH ST SW, SUITE 204, WYOMING, MI 49519-4189
(616) 538-7320
(616) 538-7666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4633989
—
MI
01
—
D188380
BCBS
MI
Enumeration date
08/15/2006
Last updated
07/08/2007
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