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Periodontic Associates of Port Huron

Periodontics practice in Port Huron, MI

Registered specialistLicense # listed (MI)

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Public-record details

Address
1175 Thomas Edison Dr, Port Huron, MI 48060
Phone
(810) 987-1400
Listed under
Periodontists, Specialty practices
NPI
1962783399
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Periodontics (1223P0300X)
License number on NPI record
MS012152 (MI)
Authorized official
Mark Setter, DDS, MS, Owner
NPI first issued
Aug 30, 2011
NPI record last updated
Aug 30, 2011

NPI 1962783399 is active in the federal NPPES registry (CMS) with Periodontics, an ADA-recognized dental specialty, as its primary taxonomy; license MS012152 (MI) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Periodontists specialize in the gums and bone that support the teeth, including placing implants, gum and bone grafting, and treating gum disease. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1962783399 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

Other implant specialists in Port Huron

Arunas Vaitiekaitis, DDS805 Superior St · Port Huron, MI 48060 · (810) 984-8281 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (MI)Lawrence H. Beck DDS PC1903 10th Ave · Port Huron, MI 48060 · (810) 985-3200 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistLicense # listed (MI)Arunas S Vaitiekaitis DDS PC805 Superior St · Port Huron, MI 48060 · (810) 984-8281 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial Surgery · PracticeRegistered specialistJason Souyias, DDS1175 Thomas Edison Dr · Port Huron, MI 48060 · (810) 987-1400 · PeriodontistsRegistered specialty: PeriodonticsRegistered specialistLicense # listed (MI)Maurizio Mirabelli, DDS1903 10th Ave · Port Huron, MI 48060 · (810) 985-3200 · Oral & maxillofacial surgeonsRegistered specialty: Oral and Maxillofacial SurgeryRegistered specialistLicense # listed (MI)Peridontic Associates of Port Huron PLLC1175 Thomas Edison Dr · Port Huron, MI 48060 · (810) 987-1400 · PeriodontistsRegistered specialty: Periodontics · PracticeRegistered specialistLicense # listed (MI)

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