| Amy K. Deyoung, Dds, Ms, Pc Pediatric Dentistry | |
|
3297 Eagle Run Dr. Ne Grand Rapids MI 49525 | |
| (616) 447-7900 | |
| (616) 447-7902 |
| Full Name | Amy K. Deyoung, Dds, Ms, Pc Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3297 Eagle Run Dr. Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Amy K Deyoung (OWNER) |
| Authorized Official Contact | 6164477900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy K. Deyoung, Dds, Ms, Pc Pediatric Dentistry 3297 Eagle Run Dr. Ne Grand Rapids MI 49525 Ph: (616) 447-7900 | Amy K. Deyoung, Dds, Ms, Pc Pediatric Dentistry 3297 Eagle Run Dr. Ne Grand Rapids MI 49525 Ph: (616) 447-7900 |
| NPI Number | 1568976017 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568976017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 16365 (Michigan) | Primary |
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