Periodontal Specialists Inc.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

PERIODONTAL SPECIALISTS INC.

Practice address

29160 Center Ridge Rd
Suite J
Westlake, OH 44145-5225

Phone

(440) 835-8883

Fax

(440) 835-9395

NPI assigned

Feb 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric W. Guirguis, DDS, MSD

Title

President

Phone

(440) 835-8883

Specialties & licenses 2

Addresses

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• The Facial Surgery Center, L.L.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mt Pleasant, PA
  • NPI 1871764860

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1356484307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "address_2": "SUITE J",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455225",
            "telephone_number": "440-835-8883",
            "fax_number": "440-835-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29160 CENTER RIDGE RD",
            "address_2": "SUITE J",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455225",
            "telephone_number": "440-835-8883",
            "fax_number": "440-835-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-835-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "18958",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Peck
• Roger Peckham, M.D.
• Gregory Penko, RPH
• Ashley Nicole Pennington, NP
• Sierra Domonique Perez, MA ; LPC
• Austin Perkins
• Harry Persaud, MD
• Roberta Persaud, MD
• Courtney Perse, LPCC-S
• Robert E. Persse, LISW

• Oral and Maxillofacial Surgery Clinic/Center in Westlake, OH
• Providers in Westlake, OH by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.