Dr. Yancy A. Tygesen
Endodontist
2395 Jolly Rd Suite 130
Okemos
, Michigan 48864-3662
Dr. Yancy A. Tygesen
Endodontist
2395 Jolly Rd Suite 130
Okemos
, Michigan 48864-3662
(517) 347-2037
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Yancy A. Tygesen
- 2395 Jolly Rd Suite 130
- Okemos, MI
- Zip : 48864-3662
- Fax : (517) 347-2037
- Phone : (517) 347-7777
Second Address
- Dr. Yancy A. Tygesen
- 2395 Jolly Rd Suite 130
- Okemos, MI
- Zip : 48864-3662
- Fax : (517) 347-2037
- Phone : (517) 347-7777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 2901016661 | MI |
National Provider Identifier
| NPI | 1023224342 |
|---|---|
| Provider Name | Dr. Yancy A. Tygesen |
| First Address | Okemos, MI 48864-3662 |
| Second Address | Okemos, MI 48864-3662 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2007 |
| Last Update Date | 08/07/2007 |
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.