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Maegan Elizabeth Daughtery, DDS
Pediatric Dentist in Southfield, Michigan
NPI 1942628250

Maegan Elizabeth Daughtery is a Pediatric Dentist based in Southfield, MI and is specialized in Pediatric Dentistry. Maegan Elizabeth Daughtery practices in Southfield, MI and has the professional credentials of DDS. The NPI Number for Maegan Elizabeth Daughtery is 1942628250 and holds a License No. (Michigan).

The current practice location address for Maegan Elizabeth Daughtery is 16800 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-423-9800 and via fax at 248-423-3486. You can also correspond with Maegan Elizabeth Daughtery through the mailing address at 16800 W 12 MILE RD, SOUTHFIELD, MI - 48076-2108 (mailing address contact number: 248-423-9800).

Location: 16800 W 12 Mile Rd, Southfield, MI, 48076-2108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942628250
Provider Name
Maegan Elizabeth Daughtery
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
16800 W 12 Mile Rd, Southfield, MI, 48076-2108
Phone Number
248-423-9800
Fax Number
248-423-3486
Provider Enumeration Date
04/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16800 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2108
Phone Number
248-423-9800
Fax Number
248-423-3486
person
Provider Business Mailing Address Details
Address
16800 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2108
Phone Number
248-423-9800
Fax Number
248-423-3486
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901021773 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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