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PERIODONTAL SPECIALISTS OF GRAND BLANC PC
NPI 1780861484
Dentist - Periodontics in Grand Blanc, MI

Active since January 24, 2008
8185 HOLLY RD, SUITE19, GRAND BLANC, MI 48439(810) 695-6444 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periodontal Specialists Of Grand Blanc Pc NPPES

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

PERIODONTAL SPECIALISTS OF GRAND BLANC PC (NPI 1780861484) is a healthcare organization registered as a periodontics in Grand Blanc, Michigan and active in the NPI registry since January 2008. The organization lists Kelly Lynn Coggins, Business Office Asst., as its authorized official.

NPPES Registry Identity

NPI1780861484
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL SPECIALISTS OF GRAND BLANC PC
Location Address8185 HOLLY RD, SUITE19Grand Blanc, MI 48439-2444
Mailing Address8185 Holly Rd, Suite19Grand Blanc, MI 48439-2444 · (810) 695-6444
Phone(810) 695-6444
Organization SubpartNo
Authorized OfficialKelly Lynn CogginsBusiness Office Asst. · (810) 695-6444
Enumeration DateJanuary 24, 2008
✔ NPI 1780861484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MI · 16909
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.
8185 HOLLY RD, Grand Blanc, MI 48439
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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

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. FRANK A DAWE DDS
Dentist
8185 HOLLY RD, STE 15 GRAND RIDGE GALLERIA
GRAND BLANC, MI 48439
Genesee County (810) 695-0842
DEMA MAHJOUB DDS
Dentist (General Practice)
8185 HOLLY RD
GRAND BLANC, MI 48439
Genesee County (810) 695-0842
GRAND BLANC PERIODONTAL ASSOCIATES
Dentist (Periodontics)
8185 HOLLY RD, SUITE 19
GRAND BLANC, MI 48439
Genesee County (810) 695-6444

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 Periodontal Specialists Of Grand Blanc PC's NPI number?

The NPI number for Periodontal Specialists Of Grand Blanc PC is 1780861484. It was assigned to this organization in the NPPES registry on January 24, 2008.

Where is Periodontal Specialists Of Grand Blanc PC located?

Periodontal Specialists Of Grand Blanc PC is located at 8185 Holly Rd Suite19, Grand Blanc, MI 48439. The listed phone number is (810) 695-6444.

What is Periodontal Specialists Of Grand Blanc PC'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 Periodontal Specialists Of Grand Blanc PC was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.