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

Suheil M Boutros, DDSMS

Individual provider Periodontics · NPI 1558434480

Suheil M Boutros, DDSMS is a Periodontics in Bloomfield Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

300 E Long Lk Ste 290
Bloomfield Hills, MI 48304
Phone: (248) 647-0516
Fax: (248) 433-1664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2901016909 (MI)
Periodontics Taxonomy 1223P0300X · Licence 16909 (MI)

Record details

NPI number1558434480
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address5900 Geddes Rd, Ypsilanti, MI 48198-9556

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