Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Peridontic Associates of Port Huron PLLC

Organization Periodontics · NPI 1760804983

Peridontic Associates of Port Huron PLLC provides Periodontics in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1175 Thomas Edison Dr
Port Huron, MI 48060-8500 Not confirmed with CMS for 12 years — call before visiting
Phone: (810) 987-1400
Fax: (810) 987-1349
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence JS019200 (MI)

Record details

NPI number1760804983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Souyias — Partner · (810) 987-1400
Other names Periodontic Associates Of Port Huron
NPI enumeratedJanuary 7, 2014
Last updated in NPPESJanuary 7, 2014
Mailing address1175 Thomas Edison Dr, Port Huron, MI 48060-8500

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