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

Periodontal Specialists of Clarkston

Organization Periodontics · NPI 1548447576

Periodontal Specialists of Clarkston is a Periodontics in Clarkston, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

6803 Dixie Hwy Ste 1
Clarkston, MI 48346-5101
Phone: (248) 625-1721
Fax: (248) 625-5475
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 16909 (MI)

Record details

NPI number1548447576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suheil Boutros — Ceo/President · (810) 695-6444
NPI enumeratedJanuary 22, 2008
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address6803 Dixie Hwy Ste 1, Clarkston, MI 48346-5101

Other providers in Clarkston