OrganizationActive
Periodontal Specialists of Grand Blanc PC
NPI 1780861484 · Periodontics · Grand Blanc, MI
Periodontal Specialists of Grand Blanc PC is a Periodontics organization in Grand Blanc, MI (NPI 1780861484).
Provider details
- NPI number
- 1780861484
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kelly Coggins, Business Office Asst.(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
8185 Holly Rd
Suite19
Grand Blanc, MI 48439-2444
Phone: (810) 695-6444
Street-level locationGet directions
Mailing address
8185 Holly Rd
Grand Blanc, MI 48439-2444
Registry dates
- Enumerated
- 2008-01-24
- Last updated
- 2008-01-24
Frequently asked questions
- What is Periodontal Specialists of Grand Blanc PC's NPI number?
- Periodontal Specialists of Grand Blanc PC's National Provider Identifier (NPI) is 1780861484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Specialists of Grand Blanc PC?
- Periodontal Specialists of Grand Blanc PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Specialists of Grand Blanc PC located?
- Periodontal Specialists of Grand Blanc PC's practice location on file with NPPES is 8185 Holly Rd, Grand Blanc, MI 48439-2444.
- What is Periodontal Specialists of Grand Blanc PC's phone number?
- The practice phone number listed in the NPPES registry for Periodontal Specialists of Grand Blanc PC is (810) 695-6444.
- Who is the authorized official for Periodontal Specialists of Grand Blanc PC?
- The authorized official listed on Periodontal Specialists of Grand Blanc PC's NPPES record is Kelly Coggins, Business Office Asst.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Specialists of Grand Blanc PC's NPI active?
- Yes — Periodontal Specialists of Grand Blanc PC's NPI (1780861484) is active in the NPPES registry as of the last update on 2008-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.