SearchMichigan124Q00000X

Betsy Southern, RDH

NPI 1760799456 · on the registry since 2010 · sole proprietor

Practice

Address
7040 Mckay Rd
Jackson, MI 49201
Phone
(517) 740-5620
Fax
(517) 563-0957
Organisation at this address
Smiles On Wheels
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-02

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