OrganizationActive
Peridontic Associates of Port Huron PLLC
NPI 1760804983 · Periodontics · Port Huron, MI
Peridontic Associates of Port Huron PLLC is a Periodontics organization in Port Huron, MI (NPI 1760804983).
Provider details
- NPI number
- 1760804983
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jason Souyias, Partner(810) 987-1400
- License
- JS019200 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1175 Thomas Edison Dr
Port Huron, MI 48060-8500
Phone: (810) 987-1400
Fax: (810) 987-1349
Street-level locationGet directions
Mailing address
1175 Thomas Edison Dr
Port Huron, MI 48060-8500
Other names (DBA / former)
- Doing business as
- Periodontic Associates of Port Huron
Registry dates
- Enumerated
- 2014-01-07
- Last updated
- 2014-01-07
Frequently asked questions
- What is Peridontic Associates of Port Huron PLLC's NPI number?
- Peridontic Associates of Port Huron PLLC's National Provider Identifier (NPI) is 1760804983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peridontic Associates of Port Huron PLLC?
- Peridontic Associates of Port Huron PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Peridontic Associates of Port Huron PLLC located?
- Peridontic Associates of Port Huron PLLC's practice location on file with NPPES is 1175 Thomas Edison Dr, Port Huron, MI 48060-8500.
- What is Peridontic Associates of Port Huron PLLC's phone number?
- The practice phone number listed in the NPPES registry for Peridontic Associates of Port Huron PLLC is (810) 987-1400.
- Who is the authorized official for Peridontic Associates of Port Huron PLLC?
- The authorized official listed on Peridontic Associates of Port Huron PLLC's NPPES record is Jason Souyias, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peridontic Associates of Port Huron PLLC's NPI active?
- Yes — Peridontic Associates of Port Huron PLLC's NPI (1760804983) is active in the NPPES registry as of the last update on 2014-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.