Provider Demographics
NPI:1548386816
Name:ESCOTE, JEFFREY LLOYD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LLOYD
Last Name:ESCOTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30690 BECK RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-1036
Mailing Address - Country:US
Mailing Address - Phone:248-669-3600
Mailing Address - Fax:248-669-0867
Practice Address - Street 1:30690 BECK RD
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-1036
Practice Address - Country:US
Practice Address - Phone:248-669-3600
Practice Address - Fax:248-669-0867
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010159661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice