PERIODONTAL SPECIALISTS OF FLINT PC
NPI 1932541455
Dentist - Periodontics in Flint, MI

Active since July 25, 2013
4252 S LINDEN RD, FLINT, MI 48507(810) 733-1890(810) 733-3619 Get Directions Write a Review

NPPES record last updated: July 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periodontal Specialists Of Flint Pc NPPES

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

PERIODONTAL SPECIALISTS OF FLINT PC (NPI 1932541455) is a healthcare organization registered as a periodontics in Flint, Michigan and active in the NPI registry since July 2013. The organization lists Suheil M Boutros, President, as its authorized official.

NPPES Registry Identity

NPI1932541455
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL SPECIALISTS OF FLINT PC
Location Address4252 S LINDEN RDFlint, MI 48507-2953
Mailing Address8185 Holly Rd, Suite 19Grand Blanc, MI 48439-2444 · (810) 695-6444
Fax(810) 733-3619
Organization SubpartNo
Authorized OfficialSuheil M BoutrosPresident · (810) 695-6444
Enumeration DateJuly 25, 2013
NPI 1932541455 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.
4252 S LINDEN RD, Flint, MI 48507

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

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.

Dentist (Endodontics)
4252 S LINDEN RD
FLINT, MI 48507
Dentist (Periodontics)
4252 S LINDEN RD
FLINT, MI 48507
Dental Hygienist
4252 S LINDEN RD
FLINT, MI 48507

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 Flint PC's NPI number?

The NPI number for Periodontal Specialists Of Flint PC is 1932541455. It was assigned to this organization in the NPPES registry on July 25, 2013.

Where is Periodontal Specialists Of Flint PC located?

Periodontal Specialists Of Flint PC is located at 4252 S Linden Rd, Flint, MI 48507. The listed phone number is (810) 733-1890.

What is Periodontal Specialists Of Flint PC's specialty?

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

What insurance does Periodontal Specialists Of Flint PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Periodontal Specialists Of Flint PC 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 Periodontal Specialists Of Flint PC was last updated on July 25, 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.