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

Periodontic PLLC

Organization Periodontics · NPI 1205014669

Periodontic PLLC is a Periodontics in Wyandotte, Michigan. Registered with an NPI since 2008.

In the registry since
2008
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

3589 Fort St
Wyandotte, MI 48192-6315
Phone: (734) 281-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1205014669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Darany — President · (313) 274-8522
NPI enumeratedFebruary 7, 2008
Last updated in NPPESMarch 14, 2013
Mailing address22801 Newman St., Dearborn, MI 48124-1740