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PERIODONTIC PLLC
NPI 1154619583
Dentist - Periodontics in Plymouth, MI

Active since July 19, 2011
40400 E. ANN ARBOR RD., SUITE 204A, PLYMOUTH, MI 48170(734) 459-4077(734) 459-4084 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Periodontic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIODONTIC PLLC (NPI 1154619583) is a healthcare organization registered as a periodontics in Plymouth, Michigan and active in the NPI registry since July 2011. The organization lists David G Darany, President, as its authorized official.

NPPES Registry Identity

NPI1154619583
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTIC PLLC
Location Address40400 E. ANN ARBOR RD., SUITE 204APlymouth, MI 48170
Mailing Address22801 Newman St.Dearborn, MI 48124-1740 · (313) 274-8522 · Fax (313) 274-5396
Phone(734) 459-4077
Fax(734) 459-4084
Organization SubpartNo
Authorized OfficialDavid G DaranyPresident · (248) 851-1034
Enumeration DateJuly 19, 2011
Last NPPES UpdateMarch 14, 2013
✔ NPI 1154619583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MI · 2901015315
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.
40400 E. ANN ARBOR RD., Plymouth, MI 48170
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Periodontic PLLC's NPI number?

The NPI number for Periodontic PLLC is 1154619583. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Periodontic PLLC located?

Periodontic PLLC is located at 40400 E. Ann Arbor Rd. Suite 204A, Plymouth, MI 48170. The listed phone number is (734) 459-4077.

What is Periodontic PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontic PLLC was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.