Provider Demographics
NPI:1730120254
Name:DAWS, JEFFREY GILBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:GILBERT
Last Name:DAWS
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 1:2400 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-2712
Mailing Address - Country:US
Mailing Address - Phone:248-649-5017
Mailing Address - Fax:
Practice Address - Street 1:28201 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3750
Practice Address - Country:US
Practice Address - Phone:248-777-7542
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010137311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice