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

Periodontal Specialists of Grand Blanc PC

Organization Periodontics · NPI 1780861484

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

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8185 Holly Rd SUITE19
Grand Blanc, MI 48439-2444
Phone: (810) 695-6444
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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 number1780861484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Coggins — Business Office Asst. · (810) 695-6444
NPI enumeratedJanuary 24, 2008
Last updated in NPPESJanuary 24, 2008
Mailing address8185 Holly Rd, Suite19, Grand Blanc, MI 48439-2444

Other providers in Grand Blanc