Periodontic Pllc
Specialty details in registry · Plymouth, MI
At a glance
40400 E. Ann Arbor Rd., Plymouth, MI 48170
NPPES record updated Mar 14, 2013. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.
Practice location
40400 E. Ann Arbor Rd. Suite 204APlymouth, MI 48170
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223P0300X
- Enumeration date
- Jul 19, 2011
- Record updated
- Mar 14, 2013
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
1223P0300X · Primary
License reported: 2901015315 MI
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
40400 E. Ann Arbor Rd.Suite 204A
Plymouth, MI 48170
- Phone
- (734) 459-4077
- Fax
- (734) 459-4084
Mailing address
22801 NEWMAN ST.DEARBORN, MI 481241740
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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