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EASTSIDE IMPLANTS AND PERIODONTICS
NPI 1932946464
Dentist - Periodontics in Center Line, MI

Active since July 11, 2024
25523 VAN DYKE AVENUE, CENTER LINE, MI 48015(586) 757-5454(586) 757-4147 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Implants And Periodontics NPPES

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

EASTSIDE IMPLANTS AND PERIODONTICS (NPI 1932946464) is a healthcare organization registered as a periodontics in Center Line, Michigan and active in the NPI registry since July 2024. The organization lists Kelly Misch, Owner/periodontist, as its authorized official.

NPPES Registry Identity

NPI1932946464
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEASTSIDE IMPLANTS AND PERIODONTICS
Location Address25523 VAN DYKE AVENUECenter Line, MI 48015
Mailing Address25523 Van Dyke AvenueCenter Line, MI 48015 · (734) 975-1743 · Fax (734) 975-1754
Phone(586) 757-5454
Fax(586) 757-4147
Organization SubpartNo
Authorized OfficialKelly MischOwner/periodontist · (734) 975-1743
Enumeration DateJuly 11, 2024
✔ NPI 1932946464 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.
25523 VAN DYKE AVENUE, Center Line, MI 48015
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Eastside Implants And Periodontics's NPI number?

The NPI number for Eastside Implants And Periodontics is 1932946464. It was assigned to this organization in the NPPES registry on July 11, 2024.

Where is Eastside Implants And Periodontics located?

Eastside Implants And Periodontics is located at 25523 Van Dyke Avenue, Center Line, MI 48015. The listed phone number is (586) 757-5454.

What is Eastside Implants And Periodontics'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 Eastside Implants And Periodontics was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.