OrganizationActive
Periodontal Specialists of Clarkston PC
NPI 1225774789 · Periodontics · Clarkston, MI
Periodontal Specialists of Clarkston PC is a Periodontics organization in Clarkston, MI (NPI 1225774789).
Provider details
- NPI number
- 1225774789
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Pam Strader, Insurance Coordinator(248) 625-1721
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
6803 Dixie Hwy Ste 1
Clarkston, MI 48346-5101
Phone: (248) 625-1721
Fax: (248) 625-5475
Street-level locationGet directions
Mailing address
6803 Dixie Hwy Ste 1
Clarkston, MI 48346-5101
Registry dates
- Enumerated
- 2022-05-09
- Last updated
- 2022-05-09
- Certified
- 2022-04-25
Frequently asked questions
- What is Periodontal Specialists of Clarkston PC's NPI number?
- Periodontal Specialists of Clarkston PC's National Provider Identifier (NPI) is 1225774789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Specialists of Clarkston PC?
- Periodontal Specialists of Clarkston PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Specialists of Clarkston PC located?
- Periodontal Specialists of Clarkston PC's practice location on file with NPPES is 6803 Dixie Hwy Ste 1, Clarkston, MI 48346-5101.
- What is Periodontal Specialists of Clarkston PC's phone number?
- The practice phone number listed in the NPPES registry for Periodontal Specialists of Clarkston PC is (248) 625-1721.
- Who is the authorized official for Periodontal Specialists of Clarkston PC?
- The authorized official listed on Periodontal Specialists of Clarkston PC's NPPES record is Pam Strader, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Specialists of Clarkston PC's NPI active?
- Yes — Periodontal Specialists of Clarkston PC's NPI (1225774789) is active in the NPPES registry as of the last update on 2022-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.