| Periodontal Specialists Of Clarkston | |
|
6803 Dixie Hwy Ste 1 Clarkston MI 48346-5101 | |
| (248) 625-1721 | |
| (248) 625-5475 |
| Full Name | Periodontal Specialists Of Clarkston |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6803 Dixie Hwy Ste 1, Clarkston, Michigan |
| Authorized Official Name and Position | Suheil Michael Boutros (CEO/PRESIDENT) |
| Authorized Official Contact | 8106956444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Specialists Of Clarkston 6803 Dixie Hwy Ste 1 Clarkston MI 48346-5101 Ph: (248) 625-1721 | Periodontal Specialists Of Clarkston 6803 Dixie Hwy Ste 1 Clarkston MI 48346-5101 Ph: (248) 625-1721 |
| NPI Number | 1548447576 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548447576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 16909 (Michigan) | Primary |
Steven J Rollins Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6100 Dixie Hwy, Suite A, Clarkston, MI 48346 Phone: 248-623-4600 | |
Michigan Mainstreet Dentistry Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 S Main St, Clarkston, MI 48346 Phone: 248-625-8494 | |
Endodontic Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Dixie Hwy, Suite 300, Clarkston, MI 48346 Phone: 248-620-0002 Fax: 248-620-0025 | |
Kenneth D. Thomas, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6080 Dixie Hwy Ste A, Clarkston, MI 48346 Phone: 248-623-4990 | |
North Oakland Endodontics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6803 Dixie Highway Suite 3, Clarkston, MI 48346 Phone: 248-625-8070 Fax: 248-625-8087 | |
Obradovich Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5760 Clarkston Rd Ste A, Clarkston, MI 48348 Phone: 248-625-9001 | |
Periodontal Specialists Of Clarkston Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6803 Dixie Hwy Ste 1, Clarkston, MI 48346 Phone: 248-625-1721 Fax: 248-625-5475 |