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Jay Eagan, DDS
NPI 1386854891 · on the registry since 2007
Practice
- Address
- 17600 West 12 Mile Road
Suite 4
Southfield, MI 48076 - Phone
- (248) 569-8770
- Fax
- (248) 569-2476
- Organisation at this address
- Eagan Orthodontics Pc
Southfield Dental PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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