Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY VICTOR EAGAN, DDS
ActiveDR. JAY VICTOR EAGAN, DDS is a Orthodontics healthcare provider located in SOUTHFIELD, Michigan. NPI 1386854891 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1386854891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (19.256232789983 yrs)
- Last Updated
- Jul 8, 2007
- License
-
13440 (MI)
Practice Information
- Address
-
17600 WEST 12 MILE ROADSUITE 4SOUTHFIELD, MI, 48076Browse MI providers · Browse ZIP 48076
- Phone
- 2485698770
- Fax
- 2485692476
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. HOWARD LESLIE TINGLING | DDS MS | 1689720153 |
| RANDALL LOREN SHAW | D.D.S.,M.S. | 1891942165 |
| ANGELIQUE THOMAS | DDS | 1619539210 |
| JANELLE MCQUEEN | DDS | 1295335891 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.