OrganizationActive
Periodontal Specialties
NPI 1346428026 · Periodontics · Sterling Heights, MI
Provider details
- NPI number
- 1346428026
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jeffery Johnston, President(586) 268-5520
- License
- 13303 (MI)
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
8130 Constitution Blvd
Sterling Heights, MI 48313-3801
Phone: (586) 268-5520
Street-level locationGet directions
Mailing address
8130 Constitution Blvd
Sterling Heights, MI 48313-3801
Registry dates
- Enumerated
- 2008-02-05
- Last updated
- 2008-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.