| Brian Jacobson, Dds And Allyn Young, Dds, Pc | |
|
31550 Schoolcraft Rd Livonia MI 48150-1805 | |
| (734) 522-6770 | |
| (734) 522-4062 |
| Full Name | Brian Jacobson, Dds And Allyn Young, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31550 Schoolcraft Rd, Livonia, Michigan |
| Authorized Official Name and Position | Allyn C Young (PRESIDENT) |
| Authorized Official Contact | 7345226770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Jacobson, Dds And Allyn Young, Dds, Pc 31550 Schoolcraft Rd Livonia MI 48150-1805 Ph: (734) 522-6770 | Brian Jacobson, Dds And Allyn Young, Dds, Pc 31550 Schoolcraft Rd Livonia MI 48150-1805 Ph: (734) 522-6770 |
| NPI Number | 1891864682 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891864682 | NPI | - | NPPES |
| 013163 | Other | MI | DENTAL LICENSE, B JACOBSO |
| 014485 | Other | MI | DENTAL LICENSE, A YOUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014485 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | 013163 (Michigan) | Secondary |
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