Dr. Paul Jay Huizinga
Oral & Maxillofacial Surgeon
4330 44th St Sw Suite 106
Grandville
, Michigan 49418-2349
Dr. Paul Jay Huizinga
Oral & Maxillofacial Surgeon
4330 44th St Sw Suite 106
Grandville
, Michigan 49418-2349
(616) 534-4477
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Paul Jay Huizinga
- 3919 Piute Dr Sw
- Grandville, MI
- Zip : 49418-2474
- Phone : (616) 534-4477
Second Address
- Dr. Paul Jay Huizinga
- 4330 44th St Sw Suite 106
- Grandville, MI
- Zip : 49418-2349
- Fax : (616) 530-0480
- Phone : (616) 530-4710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 2901018332 | MI |
National Provider Identifier
| NPI | 1174516363 |
|---|---|
| Provider Name | Dr. Paul Jay Huizinga |
| First Address | Grandville, MI 49418-2474 |
| Second Address | Grandville, MI 49418-2349 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 24/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4453238 | (05) | MI |
| H33439 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.