MICHIGAN IMPLANTS & PERIODONTICS INSTITUTE, P.L.C. - NPI 1194962753

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Michigan Implants & Periodontics Institute, P.l.c. NPPES

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

MICHIGAN IMPLANTS & PERIODONTICS INSTITUTE, P.L.C. (NPI 1194962753) is a healthcare organization registered as a periodontics in Ann Arbor, Michigan and active in the NPI registry since January 2009. The organization lists Kelly Misch, Manager, as its authorized official.

NPPES Registry Identity

NPI1194962753

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameMICHIGAN IMPLANTS & PERIODONTICS INSTITUTE, P.L.C.

Location Address2755 CARPENTER RD, SUITE 2NEAnn Arbor, MI 48108-1186

Mailing Address2755 Carpenter Rd, Suite 2neAnn Arbor, MI 48108-1186 · (734) 975-1743

Phone(734) 975-1743

Organization SubpartNo

Authorized OfficialKelly MischManager · (734) 975-1743

Enumeration DateJanuary 19, 2009

✔ NPI 1194962753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in MI · 2901019093✔ Licensed in MI · 2901018946

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.

2755 CARPENTER RD, Ann Arbor, MI 48108

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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 MULTIPLE SINGLE SPECIALTY GROUP