Search › Michigan › 122300000X
Shawn Van De Vyver, DDS
NPI 1548309644 · on the registry since 2007
Practice
- Address
- 53620 Van Dyke Ave Ste 2
Shelby Township, MI 48316 - Phone
- (586) 677-2828
- Organisation at this address
- Van De Vyver Dental, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 34301 23 Mile Rd Ste 140a, Chesterfield, MI
- 25810 Kelly Rd Ste 2, Roseville, MI
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
1223D0001X - Licence states on file
- TX, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-25
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