MEDICARE: DR. JEFFREY STEPHEN TOPF DDS,FACS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	2901009517	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	970F31085	OTHER	MI	BCBSM
3	JT009517	OTHER	MI	LICENSE NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396727293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY STEPHEN TOPF DDS,FACS

Provider Business Mailing Address
First Line	:	25455 YORK RD
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6022 W MAPLE RD STE 405
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-4408
Country	:	US
Telephone Number	:	248-855-2006
Fax Number	:	248-855-0571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	09/24/2018

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