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PERIODONTIC ASSOCIATES OF PORT HURON
NPI 1962783399
Dentist - Periodontics in Port Huron, MI

Active since August 30, 2011
1175 THOMAS EDISON DR, PORT HURON, MI 48060(810) 987-1400(810) 987-1349 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Periodontic Associates Of Port Huron NPPES

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

PERIODONTIC ASSOCIATES OF PORT HURON (NPI 1962783399) is a healthcare organization registered as a periodontics in Port Huron, Michigan and active in the NPI registry since August 2011. The organization lists Mark Koenen Setter, Owner, as its authorized official.

NPPES Registry Identity

NPI1962783399
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTIC ASSOCIATES OF PORT HURON
Location Address1175 THOMAS EDISON DRPort Huron, MI 48060-8500
Mailing Address1175 Thomas Edison DrPort Huron, MI 48060-8500 · (810) 987-1400 · Fax (810) 987-1349
Phone(810) 987-1400
Fax(810) 987-1349
Organization SubpartNo
Authorized OfficialMark Koenen SetterOwner · (810) 987-1400
Enumeration DateAugust 30, 2011
✔ NPI 1962783399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MI · MS012152
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.
1175 THOMAS EDISON DR, Port Huron, MI 48060
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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

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.

KRUPA PATEL D.M.D.
Dentist (General Practice)
1175 THOMAS EDISON DR
PORT HURON, MI 48060
St. Clair County (810) 987-1400
DR. JASON G SOUYIAS DDS
Dentist (Periodontics)
1175 THOMAS EDISON DR
PORT HURON, MI 48060
St. Clair County (810) 987-1400
PERIDONTIC ASSOCIATES OF PORT HURON PLLC
Dentist (Periodontics)
1175 THOMAS EDISON DR
PORT HURON, MI 48060
St. Clair County (810) 987-1400

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 Associates Of Port Huron's NPI number?

The NPI number for Periodontic Associates Of Port Huron is 1962783399. It was assigned to this organization in the NPPES registry on August 30, 2011.

Where is Periodontic Associates Of Port Huron located?

Periodontic Associates Of Port Huron is located at 1175 Thomas Edison Dr, Port Huron, MI 48060. The listed phone number is (810) 987-1400.

What is Periodontic Associates Of Port Huron'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 Periodontic Associates Of Port Huron was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.