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

Periodontal Specialists of Grand Blanc PC

Organization Periodontics · NPI 1780861484

Periodontal Specialists of Grand Blanc PC provides Periodontics in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8185 Holly Rd SUITE19
Grand Blanc, MI 48439-2444 Not confirmed with CMS for 18 years — call before visiting
Phone: (810) 695-6444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1780861484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Coggins — Business Office Asst. · (810) 695-6444
NPI enumeratedJanuary 24, 2008
Last updated in NPPESJanuary 24, 2008
Mailing address8185 Holly Rd, Suite19, Grand Blanc, MI 48439-2444

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