Dr. Gary Edwin Jeffers, D.M.D.
Dentist, General Practice in Northville, MI. Individual provider (NPI-1).
NPI number1376745299
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376745299
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary Edwin Jeffers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901012437 | MI | Yes |
Practice location
42890 Steepleview StNorthville, MI 48168-2077
Phone 734-420-1127 · Fax 734-420-0926
Mailing address
8200 W Outer DrOral Surgery Clinic
Detroit, MI 48219-3580
Phone 313-494-6739 · Fax 313-494-6666
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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