Eastside Periodontal Assoc Pllc

  • 1144312760 NPI Number
  • |
  • Actived: 17 years ago
  • |
Eastside Periodontal Assoc Pllc is a health care provider based in Center Line, MI. The NPI Number is 1144312760 and it has been active since 17 years ago. The specialty is Periodontics, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Periodontics services, Eastside Periodontal Assoc Pllc is an excellent option. We are here to help you get the care you need.

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Overview of Eastside Periodontal Assoc Pllc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 09/29/2006
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 1223P0300X
  • Specialty: Periodontics
  • License Number: B18275
  • License State: MI

Provider Mailing Address

  • Address: 25523 Van Dyke Ave
    Center Line, MI 48015
  • Phone: 586-757-5454
  • Fax: 586-757-4147

Provider Practice Location

  • Address: 25523 Van Dyke Ave
    Center Line, MI 48015
  • Phone: 586-757-5454
  • Fax: 586-757-4147

Authorized Official

  • Name: MRS. Jennifer Lynn Wise
  • Position/Title: Office Manager
  • Telephone Number: 586-757-5454

Scope of Practice

  • Taxonomy Code: 1223P0300X
  • Specialty: Periodontics
  • License Number: B18275
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Eastside Periodontal Assoc Pllc?
  • A: The npi number for Eastside Periodontal Assoc Pllc is 1144312760.
  • Q: What are Eastside Periodontal Assoc Pllc's specialties?
  • A: Eastside Periodontal Assoc Pllc's specialties are Periodontics and different specialities.
  • Q: Where is Eastside Periodontal Assoc Pllc business practice location?
  • A: Eastside Periodontal Assoc Pllc business practice location is 25523 Van Dyke Ave, Center Line, MI 48015.
  • Q: How to contact Eastside Periodontal Assoc Pllc?
  • A: You can contact Eastside Periodontal Assoc Pllc via 586-757-5454.
  • Q: What is the authorized official for Eastside Periodontal Assoc Pllc?
  • A: The authorized office name is MRS. Jennifer Lynn Wise with position/title is Office Manager and you can reach the authorized official via phone number 5867575454.
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