Organization · Type 2 NPI
Periodontic PLLC
Periodontics · Plymouth, MI
NPI number
1154619583
Active
Practice location
40400 E. Ann Arbor Rd., Suite 204A
Plymouth, MI 48170
Fax (734) 459-4084
Mailing address
22801 Newman St.
Dearborn, MI 48124-1740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 2901015315 (MI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Plymouth
About NPI 1154619583
Periodontic PLLC's National Provider Identifier is 1154619583, issued on Jul 19, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Plymouth, MI. The record was last updated on Mar 14, 2013.