Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michigan Periodontics Group LLC

Organization Periodontics · NPI 1578002812

Michigan Periodontics Group LLC is a Periodontics in Chelsea, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 N Main St Ste 110
Chelsea, MI 48118-1486
Phone: (734) 719-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2901021083 (MI)

Record details

NPI number1578002812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Etherton — Regional Manager · (616) 780-6879
NPI enumeratedFebruary 20, 2017
Last updated in NPPESFebruary 20, 2017
Mailing address350 North Main Street Suite 110, Chelsea, MI 48118