DR. GARY EDWIN JEFFERS (NPI# 1376745299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376745299 |
Entity Type | Individual |
Full Name | DR. GARY EDWIN JEFFERS |
Credential | D.M.D. |
Practice Address |
42890 Steepleview St Northville MI 48168-2077 |
Mailing Address |
8200 W Outer Dr Oral Surgery Clinic Detroit MI 48219-3580 |
Practice Telephone | 7344201127 |
Practice Fax Number | 7344200926 |
Mailing Telephone | 3134946739 |
Mailing Fax Number | 3134946666 |
Enumeration Date | 2007-06-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2901012437 | MI | Dental Providers |
Street Address |
42890 STEEPLEVIEW ST |
City | NORTHVILLE |
State | MI |
Zip Code | 48168-2077 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619474376 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 39901 Traditions Dr Ste 230, Northville, MI 48168 | 2018-04-10 |
1487151486 | Amy Elizabeth Parravano Drummond | Social Worker | 49018 Freestone Dr, Northville, MI 48168 | 2018-04-07 |
1164925731 | Jessie A Hadley | Physical Therapy Assistant | Northville Health Center, 39901 Traditions Dr., Northville, MI 48168 | 2018-03-09 |
1952800591 | Katherine Kuciemba | Counselor | 18600 Northville Rd Ste 400, Northville, MI 48168 | 2018-02-09 |
1477957363 | Wendy Lynn Loope | Nurse Practitioner | 39901 Traditiions Dr, Suite 210, Northville, MI 48168 | 2014-10-21 |
1447502596 | Steven James Helsel | Counselor | 18600 Northville Rd., Northville, MI 48168 | 2012-10-12 |
1801041439 | R3a Corp | Durable Medical Equipment & Medical Supplies | 17911 Haggerty Rd, Northville, MI 48168 | 2008-11-24 |
1164589925 | Mary Catherine Neumaier | Dietitian, Registered | 40020 Five Mile Road, Northville, MI 48168 | 2007-01-02 |
1235249087 | Nicholas Spiro Sellas | General Practice | 18905 Edenderry Drive, Northville, MI 48168 | 2006-08-30 |
1992713390 | Karen H. Yurko | Psychologist | 41820 Six Mile. Rd., Ste. 104, Northville, MI 48168 | 2006-08-03 |
Find all providers in zip 48168 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982011771 | Brett Bullard | Dentist | 20075 Northville Place Dr Apt 3122, Northville, MI 48167-2962 | 2014-07-14 |
1437434362 | Thomas J Milko | Dentist | 145 S Shore Rd, Northville, NY 12134-5911 | 2011-10-11 |
1457527533 | Nika Grigaitis | Dentist | 19510 Clement Rd, Northville, MI 48167-1746 | 2008-05-07 |
1346360427 | Frank Sun Dds PC | Dentist | 1059 Novi Road, Northville, MI 48167 | 2007-03-30 |
1023132735 | Jerome Stephen Mehler | Dentist | 42927 W 7 Mile Road, Northville, MI 48167-2277 | 2007-03-19 |
1205966827 | Charles Saad Choueiry | Dentist | 418 N Center St, Northville, MI 48167-1283 | 2007-03-06 |
1154459139 | Laurie Jayne Toomajanian | Dentist | 339 N Center St, Suite B., Northville, MI 48167-1288 | 2007-03-01 |
1376696815 | Matthew J Talcott | Dentist | 434 N Center St, Northville, MI 48167-1224 | 2007-01-19 |
1871641027 | Marcy Martha Murrell | Dentist | 39433 Northwind Ct, Northville, MI 48167-3932 | 2007-01-06 |
1720154487 | Paul William Clancy | Dentist | 41620 Six Mile, Northville, MI 48168-8528 | 2006-11-27 |
Find all providers in NORTHVILLE |
City | NORTHVILLE |
Zip Code | 48168 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.