OrganizationActive
Advanced Periodontics/Implantology
NPI 1972920478 · Periodontics · Plymouth, MI
Provider details
- NPI number
- 1972920478
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Brenda Murphy, Office Manager(734) 459-4077
Specialties & taxonomies
Dental Providers
Practice location
40400 Ann Arbor Rd E
Suite 204a
Plymouth, MI 48170-6615
Phone: (734) 459-4077
Fax: (734) 459-4084
Approximate (ZIP-level) locationGet directions
Mailing address
40400 Ann Arbor Rd E
Plymouth, MI 48170-6615
Registry dates
- Enumerated
- 2014-03-21
- Last updated
- 2014-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.