Stephen J Jarvie DDS PC
Clinic/Center, Dental in Novi, MI. Organization (NPI-2).
NPI number1124636733
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1124636733
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephen J Jarvie DDS PC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2020
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- East Brooke Dental (Doing Business As)
Practice location
23595 Novi Rd Ste 110Novi, MI 48375-5441
Phone 248-449-8000 · Fax 248-449-8480
Mailing address
23595 Novi Rd Ste 110Novi, MI 48375-5441
Phone 248-449-8000 · Fax 248-449-8480
Authorized official
Stephen James Jarvie
President
2484498000
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