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Mr. Larry Van Ameyde, DDS
Oral and Maxillofacial Surgery (Dentist) in Shelby Township, Michigan
NPI 1679592489

Larry Van Ameyde is a Oral and Maxillofacial Surgery (Dentist) based in Shelby Township, MI and is specialized in Oral and Maxillofacial Surgery. Larry Van Ameyde practices in Shelby Township, MI and has the professional credentials of DDS. The NPI Number for Larry Van Ameyde is 1679592489 and holds a License No. 10374 (Michigan).

The current practice location address for Larry Van Ameyde is 51745 Van Dyke Ave, Shelby Township, MI and can be reached out via phone at 586-323-1600 and via fax at 586-323-1644.

Location: 51745 Van Dyke Ave, Shelby Township, MI, 48316-4451
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Provider Profile Details
NPI Number
1679592489
Provider Name
Larry Van Ameyde
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
51745 Van Dyke Ave, Shelby Township, MI, 48316-4451
Phone Number
586-323-1600
Fax Number
586-323-1644
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9755011140 01 MI BLUE CROSS BLUE SHIELD ID
institution
Provider Business Practice Location Address Details
Address
51745 Van Dyke Ave
City
State
Zip
48316-4451
Phone Number
586-323-1600
Fax Number
586-323-1644
person
Provider Business Mailing Address Details
Address
51745 Van Dyke Ave
City
State
Zip
48316-4451
Phone Number
586-323-1600
Fax Number
586-323-1644
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
10374 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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