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

Michigan Periodontics Group LLC

Organization Periodontics · NPI 1578002812

Michigan Periodontics Group LLC provides Periodontics in Chelsea, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 N Main St Ste 110
Chelsea, MI 48118-1486
Phone: (734) 719-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2901021083 (MI)

Record details

NPI number1578002812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Etherton — Regional Manager · (616) 780-6879
NPI enumeratedFebruary 20, 2017
Last updated in NPPESFebruary 20, 2017
Mailing address350 North Main Street Suite 110, Chelsea, MI 48118