OrganizationActive
Periodontic PLLC
NPI 1205014669 · Periodontics · Wyandotte, MI
Periodontic PLLC is a Periodontics organization in Wyandotte, MI (NPI 1205014669).
Provider details
- NPI number
- 1205014669
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- David Darany, President(313) 274-8522
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3589 Fort St
Wyandotte, MI 48192-6315
Phone: (734) 281-1414
Street-level locationGet directions
Mailing address
22801 Newman St.
Dearborn, MI 48124-1740
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2013-03-14
Frequently asked questions
- What is Periodontic PLLC's NPI number?
- Periodontic PLLC's National Provider Identifier (NPI) is 1205014669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontic PLLC?
- Periodontic PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontic PLLC located?
- Periodontic PLLC's practice location on file with NPPES is 3589 Fort St, Wyandotte, MI 48192-6315.
- What is Periodontic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Periodontic PLLC is (734) 281-1414.
- Who is the authorized official for Periodontic PLLC?
- The authorized official listed on Periodontic PLLC's NPPES record is David Darany, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontic PLLC's NPI active?
- Yes — Periodontic PLLC's NPI (1205014669) is active in the NPPES registry as of the last update on 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.