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

Peridontic Associates of Port Huron PLLC

Organization Periodontics · NPI 1760804983

Peridontic Associates of Port Huron PLLC is a Periodontics in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1175 Thomas Edison Dr
Port Huron, MI 48060-8500
Phone: (810) 987-1400
Fax: (810) 987-1349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence JS019200 (MI)

Record details

NPI number1760804983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Souyias — Partner · (810) 987-1400
Other names Periodontic Associates Of Port Huron
NPI enumeratedJanuary 7, 2014
Last updated in NPPESJanuary 7, 2014
Mailing address1175 Thomas Edison Dr, Port Huron, MI 48060-8500

Other providers in Port Huron