PERIODONTIC PLLC
NPI 1205014669
Dentist - Periodontics in Wyandotte, MI

Q: What is Periodontic PLLC's NPI number?

The NPI number for Periodontic PLLC is 1205014669. It was assigned to this organization in the NPPES registry on February 7, 2008.

Q: What is Periodontic PLLC's specialty?

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

Q: 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.

Active since February 07, 2008

3589 FORT ST, WYANDOTTE, MI 48192(734) 281-1414 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Periodontic Pllc NPPES

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

PERIODONTIC PLLC (NPI 1205014669) is a healthcare organization registered as a periodontics in Wyandotte, Michigan and active in the NPI registry since February 2008. The organization lists David G Darany, President, as its authorized official.

NPPES Registry Identity

NPI1205014669

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePERIODONTIC PLLC

Location Address3589 FORT STWyandotte, MI 48192-6315

Mailing Address22801 Newman St.Dearborn, MI 48124-1740 · (313) 274-8522

Phone(734) 281-1414

Organization SubpartNo

Authorized OfficialDavid G DaranyPresident · (313) 274-8522

Enumeration DateFebruary 7, 2008

Last NPPES UpdateMarch 14, 2013

✔ NPI 1205014669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

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.

3589 FORT ST, Wyandotte, MI 48192

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DENCAP Dental Plans, Inc.Insurance ›

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 1205014669. It was assigned to this organization in the NPPES registry on February 7, 2008.

Where is Periodontic PLLC located?

Periodontic PLLC is located at 3589 Fort St, Wyandotte, MI 48192. The listed phone number is (734) 281-1414.

What is Periodontic PLLC's specialty?

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

What insurance does Periodontic PLLC accept?

Health plans from DENCAP Dental Plans, Inc list Periodontic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.