OrganizationActive
Periodontic PLLC
NPI 1154619583 · Periodontics · Plymouth, MI
Provider details
- NPI number
- 1154619583
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- David Darany, President(248) 851-1034
- License
- 2901015315 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
40400 E. Ann Arbor Rd.
Suite 204a
Plymouth, MI 48170
Phone: (734) 459-4077
Fax: (734) 459-4084
Street-level locationGet directions
Mailing address
22801 Newman St.
Dearborn, MI 48124-1740
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2013-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.