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Modern Periodontics
Periodontist in Grand Rapids, Michigan
NPI 1679855761

Modern Periodontics is a Periodontist based in Grand Rapids, MI and is specialized in Periodontics. Modern Periodontics practices in Grand Rapids, MI. The NPI Number for Modern Periodontics is 1679855761 and holds a License No. 16791 (Michigan).

The current practice location address for Modern Periodontics is 2356 32Nd Street, Grand Rapids, MI and can be reached out via phone at 616-241-5658.

Location: 2356 32Nd Street, Grand Rapids, MI, 49508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679855761
Provider Name
Modern Periodontics
Credential
Provider Entity Type
Organization
Address
2356 32Nd Street, Grand Rapids, MI, 49508
Phone Number
616-241-5658
Fax Number
Provider Enumeration Date
09/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2356 32Nd Street
City
Grand Rapids
State
Michigan
Zip
49508-1510
Phone Number
616-241-5658
Fax Number
person
Provider Business Mailing Address Details
Address
2356 32Nd Street
City
Grand Rapids
State
Michigan
Zip
49508-1510
Phone Number
616-241-5658
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
16791 (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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