Individual provider · Type 1 NPI
Jay Victor Eagan, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Southfield, MI
Practice location
17600 West 12 Mile Road, Suite 4
Southfield, MI 48076
Fax (248) 569-2476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 13440 (MI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1386854891
Jay Victor Eagan, DDS's National Provider Identifier is 1386854891, issued on May 23, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Southfield, MI. The record was last updated on Jul 8, 2007.