Provider Demographics
NPI:1386683530
Name:DEYOUNG, AMY KAY (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:KAY
Last Name:DEYOUNG
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:3297 EAGLE RUN DR NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-7050
Mailing Address - Country:US
Mailing Address - Phone:616-447-7900
Mailing Address - Fax:616-447-7902
Practice Address - Street 1:3297 EAGLE RUN DR NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-7050
Practice Address - Country:US
Practice Address - Phone:616-447-7900
Practice Address - Fax:616-447-7902
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2010-12-09
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Provider Licenses
StateLicense IDTaxonomies
MI29010163651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry