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

Periodontic PLLC

Organization Periodontics · NPI 1154619583

Periodontic PLLC is a Periodontics in Plymouth, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40400 E Ann Arbor Rd Ste 204A
Plymouth, MI 48170
Phone: (734) 459-4077
Fax: (734) 459-4084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2901015315 (MI)

Record details

NPI number1154619583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Darany — President · (248) 851-1034
NPI enumeratedJuly 19, 2011
Last updated in NPPESMarch 14, 2013
Mailing address22801 Newman St., Dearborn, MI 48124-1740

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