Whalio Doctors

NPI 1053414615

Jacob Brady Thayer, DDS

Practitioner General Practice Dentistry Howell, MI

Practice location

Address
820 Byron Rd STE 800, Howell, MI 48843-1072
Phone
(517) 546-2240
Mailing address
5426 Morningview Ter, Brighton, MI 48114-7573

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 2901019145 (MI)

Registry record

NPI
1053414615
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Sep 2006
Record last updated
20 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.