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

Periodontic Associates of Port Huron

Organization Periodontics · NPI 1962783399

Periodontic Associates of Port Huron is a Periodontics in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011

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 MS012152 (MI)

Record details

NPI number1962783399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Setter — Owner · (810) 987-1400
NPI enumeratedAugust 30, 2011
Last updated in NPPESAugust 30, 2011
Mailing address1175 Thomas Edison Dr, Port Huron, MI 48060-8500

Other providers in Port Huron