Periodontal Specialties, NPI 1346428026
Periodontist in Sterling Heights, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1346428026 |
| NPI Entity Type | Organization |
| Provider Name | Periodontal Specialties |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 8130 Constitution Blvd, Sterling Heights, MI, US |
| Provider Mailing Address | 8130 Constitution Blvd, Sterling Heights, MI, US, 483133801 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. Jeffery Johnston |
| Official Position | PRESIDENT |
| Phone | 586-268-5520 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Periodontist |
| Classification | |
| Group | |
| License No. | 13303 |
| License State | MI |
| Description | 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. |
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DDS, MS Suhaib Alqawasmeh Individual |
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DR. DO, MPH Jimmy Wayne Brandon Individual |
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