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PROGRESSIVE PERIODONTICS PC NPI 1669544888


NPI Information

NPI: 1669544888
Provider Name: PROGRESSIVE PERIODONTICS PC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
2412 LAKE LANSING RD
LANSING, MI
ZIP 48912
Phone: (517) 372-7347
Get Directions

PROGRESSIVE PERIODONTICS PC is a periodontics dentist in Lansing, MI. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PROGRESSIVE PERIODONTICS PC NPI is 1669544888. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2412 LAKE LANSING RD
LANSING, MI
ZIP 48912-618
Phone: (517) 372-7347
Fax: (517) 372-7349

The provider's authorized official is Christopher E Kazor .
The authorized official title is President and has the following contact phone number (517) 372-7347.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics2901017282MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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