Periodontal Specialties, NPI 1346428026
Periodontist in Sterling Heights, MI, US

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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
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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

1223P0300X

Taxonomy Name Periodontist
Classification

Dentist

Group

Dental Providers

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.

Business Address

Periodontal Specialties
8130 Constitution Blvd

Sterling Heights, MI, US

Phone: 586-268-5520

Mailing Address

Periodontal Specialties
8130 Constitution Blvd
Sterling Heights, MI, US
ZIP 483133801
Phone: 586-268-5520

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