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

Seven Lakes Periodontics

Organization Periodontics · NPI 1922086370

Seven Lakes Periodontics is a Periodontics in Fenton, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

1100 Torrey Rd Ste 500
Fenton, MI 48430-3327
Phone: (810) 750-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 18270 (MI)

Record details

NPI number1922086370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diego Velasquez-Plata — President · (810) 750-3400
NPI enumeratedJanuary 5, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1100 Torrey Rd, Suite 500, Fenton, MI 48430-3327

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