Periodontal Specialties in Sterling Heights - Periodontics

Periodontal Specialties - NPI 1346428026

Periodontal Specialties is a Periodontics in Sterling Heights, Michigan. Periodontal Specialties practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Specialties is 1346428026. The last update date is 2008-02-05.

Periodontal Specialties's current location address is 8130 Constitution Blvd, Sterling Heights, Michigan. You can contact this provider via phone number 5862685520. The mailing address for Periodontal Specialties is 8130 Constitution Blvd, Sterling Heights, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Periodontal Specialties
Address 8130 Constitution Blvd, Sterling Heights, Michigan
Phone Number 5862685520
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Johnston Jeffery
Telephone Number 5862685520

NPI Number Detail

NPI Number 1346428026
Provider Enumeration Date 2008-02-05
Last Updated Date 2008-02-05

Provider Mailing Address Detail

Address 8130 Constitution Blvd
City Sterling Heights
State Michigan (MI)
Post Code 483133801
Phone Number 5862685520
Fax Number

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 13303
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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FAQs about Periodontal Specialties

What is the unique identifier code issued to Periodontal Specialties by the Centers for Medicare & Medicaid Services (CMS)?

The Periodontal Specialties has been assigned the NPI (National Provider Identifier) 1346428026. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Periodontal Specialties's physical address?

The Periodontal Specialties is physically located at 8130 Constitution Blvd, in the city of Sterling Heights, MI, with the postal code 483133801.

What is Periodontal Specialties's area of expertise and its corresponding taxonomy classification?

The Periodontal Specialties's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1346428026 to Periodontal Specialties?

The Centers for Medicare & Medicaid Services assigned the 1346428026 to Periodontal Specialties on 2008-02-05.

As of what date were the Periodontal Specialties's details last updated?

The information pertaining to the Periodontal Specialties, including its address, specialty, and other details, was most recently updated on 2008-02-05.

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