Periodontic Pllc in Dearborn - Periodontics
Periodontic Pllc - NPI 1598943052
Periodontic Pllc is a Periodontics in Dearborn, Michigan. Periodontic Pllc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontic Pllc is 1598943052. The last update date is 2013-03-14.
Periodontic Pllc's current location address is 22801 Newman St., Dearborn, Michigan. You can contact this provider via phone number 3132748522. The mailing address for Periodontic Pllc is 22801 Newman St., Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontic Pllc |
|---|---|
| Address | 22801 Newman St., Dearborn, Michigan |
| Phone Number | 3132748522 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Darany G David |
| Credentials | DDS,MS |
| Telephone Number | 3132748522 |
NPI Number Detail
| NPI Number | 1598943052 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2013-03-14 |
Provider Mailing Address Detail
| Address | 22801 Newman St. |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481241740 |
| Phone Number | 3132748522 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
Definition: 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 structure |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Periodontic Pllc?
The Periodontic Pllc has been issued the NPI (National Provider Identifier) 1598943052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Periodontic Pllc is located?
The Periodontic Pllc is situated at the following address: 22801 Newman St., Dearborn, MI, 481241740.
What is Periodontic Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Periodontic Pllc is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When was the Periodontic Pllc's 1598943052 issued?
The Periodontic Pllc's 1598943052 was issued on 2008-02-07.
As of what date were the details related to Periodontic Pllc most recently updated or revised?
The information pertaining to Periodontic Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-14.
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