| Yancy A. Tygesen, D.d.s., M.s.,p.c. | |
|
2395 Jolly Rd Suite 130 Okemos MI 48864-3662 | |
| (517) 347-7777 | |
| (517) 347-2037 |
| Full Name | Yancy A. Tygesen, D.d.s., M.s.,p.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2395 Jolly Rd, Okemos, Michigan |
| Authorized Official Name and Position | Yancy A. Tygesen (PRESIDENT) |
| Authorized Official Contact | 5173477777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yancy A. Tygesen, D.d.s., M.s.,p.c. 2395 Jolly Rd Suite 130 Okemos MI 48864-3662 Ph: (517) 347-7777 | Yancy A. Tygesen, D.d.s., M.s.,p.c. 2395 Jolly Rd Suite 130 Okemos MI 48864-3662 Ph: (517) 347-7777 |
| NPI Number | 1538371380 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538371380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2901016661 (Michigan) | Primary |
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