OrganizationActive
Michigan Periodontics Group LLC
NPI 1578002812 · Periodontics · Chelsea, MI
Michigan Periodontics Group LLC is a Periodontics organization in Chelsea, MI (NPI 1578002812).
Provider details
- NPI number
- 1578002812
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Shawn Etherton, Regional Manager(616) 780-6879
- License
- 2901021083 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
350 N Main St Ste 110
Chelsea, MI 48118-1486
Phone: (734) 719-2700
Street-level locationGet directions
Mailing address
350 North Main Street Suite 110
Chelsea, MI 48118
Registry dates
- Enumerated
- 2017-02-20
- Last updated
- 2017-02-20
Frequently asked questions
- What is Michigan Periodontics Group LLC's NPI number?
- Michigan Periodontics Group LLC's National Provider Identifier (NPI) is 1578002812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan Periodontics Group LLC?
- Michigan Periodontics Group LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Michigan Periodontics Group LLC located?
- Michigan Periodontics Group LLC's practice location on file with NPPES is 350 N Main St Ste 110, Chelsea, MI 48118-1486.
- What is Michigan Periodontics Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Michigan Periodontics Group LLC is (734) 719-2700.
- Who is the authorized official for Michigan Periodontics Group LLC?
- The authorized official listed on Michigan Periodontics Group LLC's NPPES record is Shawn Etherton, Regional Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan Periodontics Group LLC's NPI active?
- Yes — Michigan Periodontics Group LLC's NPI (1578002812) is active in the NPPES registry as of the last update on 2017-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.