OrganizationActive
Periodontal Specialists of Clarkston
NPI 1548447576 · Periodontics · Clarkston, MI
Periodontal Specialists of Clarkston is a Periodontics organization in Clarkston, MI (NPI 1548447576).
Provider details
- NPI number
- 1548447576
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Suheil Boutros, Ceo/President(810) 695-6444
- License
- 16909 (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
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
- 2008-01-22
- Last updated
- 2022-04-25
- Certified
- 2022-04-25
Frequently asked questions
- What is Periodontal Specialists of Clarkston's NPI number?
- Periodontal Specialists of Clarkston's National Provider Identifier (NPI) is 1548447576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Specialists of Clarkston?
- Periodontal Specialists of Clarkston is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Specialists of Clarkston located?
- Periodontal Specialists of Clarkston's practice location on file with NPPES is 6803 Dixie Hwy Ste 1, Clarkston, MI 48346-5101.
- What is Periodontal Specialists of Clarkston's phone number?
- The practice phone number listed in the NPPES registry for Periodontal Specialists of Clarkston is (248) 625-1721.
- Who is the authorized official for Periodontal Specialists of Clarkston?
- The authorized official listed on Periodontal Specialists of Clarkston's NPPES record is Suheil Boutros, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Specialists of Clarkston's NPI active?
- Yes — Periodontal Specialists of Clarkston's NPI (1548447576) is active in the NPPES registry as of the last update on 2022-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.