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Periodontic Pllc
Periodontist in Plymouth, Michigan
NPI 1154619583

Periodontic Pllc is a Periodontist based in Dearborn, MI and is specialized in Periodontics. Periodontic Pllc practices in Plymouth, MI. The NPI Number for Periodontic Pllc is 1154619583 and holds a License No. 2901015315 (Michigan).

The current practice location address for Periodontic Pllc is 40400 E. Ann Arbor Rd., Plymouth, MI and can be reached out via phone at 734-459-4077 and via fax at 734-459-4084. You can also correspond with Periodontic Pllc through the mailing address at 22801 NEWMAN ST., DEARBORN, MI - 48124-1740 (mailing address contact number: 313-274-8522).

Location: 40400 E. Ann Arbor Rd., Plymouth, MI, 48124-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154619583
Provider Name
Periodontic Pllc
Credential
Provider Entity Type
Organization
Address
40400 E. Ann Arbor Rd., Plymouth, MI, 48124-1740
Phone Number
734-459-4077
Fax Number
734-459-4084
Provider Enumeration Date
07/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40400 E. Ann Arbor Rd.
City
Plymouth
State
Michigan
Zip
48170
Phone Number
734-459-4077
Fax Number
734-459-4084
person
Provider Business Mailing Address Details
Address
40400 E. Ann Arbor Rd.
City
Plymouth
State
Michigan
Zip
48170
Phone Number
734-459-4077
Fax Number
734-459-4084
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
2901015315 (Michigan)
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 structures and tissues.
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