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NORTHERN PERIODONTICS & IMPLANT DENTISTRY, P.C.
NPI 1316299365
Dentist - Periodontics in Petoskey, MI

Active since October 15, 2012
2115 M 119, PETOSKEY, MI 49770(231) 347-2518(231) 347-8530 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern Periodontics & Implant Dentistry, P.c. NPPES

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

NORTHERN PERIODONTICS & IMPLANT DENTISTRY, P.C. (NPI 1316299365) is a healthcare organization registered as a periodontics in Petoskey, Michigan and active in the NPI registry since October 2012. The organization lists Vaughn A Mcgraw, President, as its authorized official.

NPPES Registry Identity

NPI1316299365
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameNORTHERN PERIODONTICS & IMPLANT DENTISTRY, P.C.
Location Address2115 M 119Petoskey, MI 49770-8914
Mailing Address2115 M 119Petoskey, MI 49770-8914 · (231) 347-2518 · Fax (231) 347-8530
Phone(231) 347-2518
Fax(231) 347-8530
Organization SubpartNo
Authorized OfficialVaughn A McgrawPresident · (231) 347-2518
Enumeration DateOctober 15, 2012
✔ NPI 1316299365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in MI · 2901010159✔ Licensed in MI · 2901014067
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.
2115 M 119, Petoskey, MI 49770
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Other Identifiers 2

Medicaid1750493896MI
Medicaid1255443321MI

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL R DOCTOR D.D.S., M.S.
Dentist (Periodontics)
2115 M 119
PETOSKEY, MI 49770
Emmet County (231) 347-2518
DR. VAUGHN A MCGRAW D.D.S., M.S.
Dentist (Periodontics)
2115 M 119
PETOSKEY, MI 49770
Emmet County (231) 347-2518
NESMITH PERIODONTICS & DENTAL IMPLANTS PLLC
Dentist (Periodontics)
2115 M 119
PETOSKEY, MI 49770
Emmet County (989) 657-4858

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 Northern Periodontics & Implant Dentistry, P.C.'s NPI number?

The NPI number for Northern Periodontics & Implant Dentistry, P.C. is 1316299365. It was assigned to this organization in the NPPES registry on October 15, 2012.

Where is Northern Periodontics & Implant Dentistry, P.C. located?

Northern Periodontics & Implant Dentistry, P.C. is located at 2115 M 119, Petoskey, MI 49770. The listed phone number is (231) 347-2518.

What is Northern Periodontics & Implant Dentistry, P.C.'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 Northern Periodontics & Implant Dentistry, P.C. was last updated on October 15, 2012. 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.