Organization · Type 2 NPI
Periodontic Associates of Port Huron
Periodontics · Port Huron, MI
NPI number
1962783399
Active
Practice location
1175 Thomas Edison Dr
Port Huron, MI 48060-8500
Fax (810) 987-1349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | MS012152 (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 Port Huron
About NPI 1962783399
Periodontic Associates of Port Huron's National Provider Identifier is 1962783399, issued on Aug 30, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Port Huron, MI. The record was last updated on Aug 30, 2011.