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: July 19, 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
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

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.

Dentist (Periodontics)
1175 THOMAS EDISON DR
PORT HURON, MI 48060
Dentist (Periodontics)
1175 THOMAS EDISON DR
PORT HURON, MI 48060
Dentist (General Practice)
1175 THOMAS EDISON DR
PORT HURON, MI 48060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962783399, enumerated as an "organization" on August 30, 2011.

The provider is located at 1175 THOMAS EDISON DR PORT HURON, MI 48060 and the phone number is (810) 987-1400.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.