Organization · Type 2 NPI
Grand Blanc Periodontal Associates
Periodontics · Grand Blanc, MI
NPI number
1871560508
Active
Practice location
8185 Holly Rd, Suite 19
Grand Blanc, MI 48439-2444
Fax (810) 695-4414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 012478 (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.
3 other providers at this address
Other periodontics providers in Grand Blanc
About NPI 1871560508
Grand Blanc Periodontal Associates's National Provider Identifier is 1871560508, issued on Mar 1, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Grand Blanc, MI. The record was last updated on Aug 22, 2020.