Search › Michigan › 225XP0200X
Jessica Young, DOT
NPI 1083220321 · on the registry since 2020
Practice
- Address
- 26210 Harper Ave Ste 200
Saint Clair Shores, MI 48081 - Phone
- (888) 485-8636
- Fax
- (586) 218-3367
- Organisation at this address
- Gentle Dental Shores Pllc
Lumen Pediatric Therapy, Llc
Lumen Pediatric Therapy, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Additional practice sites
- 3250 University Dr Ste 110, Auburn Hills, MI
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan