Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jay Victor Eagan, DDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1386854891

Dr. Jay Victor Eagan, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

17600 W 12 Mile Rd Ste 4
Southfield, MI 48076
Phone: (248) 569-8770
Fax: (248) 569-2476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 13440 (MI)

Record details

NPI number1386854891
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address17600 West 12 Mile Road, Suite 4, Southfield, MI 48076

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