Commerce Periodontology, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901019200 Issued in MI

Legal business name

COMMERCE PERIODONTOLOGY, PLLC

Practice address

2600 Union Lake Rd
Suite 130
Commerce Township, MI 48382-3588

Phone

(248) 242-6277

NPI assigned

Apr 15, 2010

Last updated

Apr 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Souyias, DDS

Title

Member

Phone

(248) 242-6277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1578889515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 UNION LAKE RD",
            "address_2": "SUITE 130",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823588",
            "telephone_number": "248-242-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 UNION LAKE RD",
            "address_2": "SUITE 130",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823588",
            "telephone_number": "248-242-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE PERIODONTOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "SOUYIAS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-242-6277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901019200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commerce Family Pharmacy, LLC (Commerce Family Pharmacy)
• Commerce Foot & Ankle Specialists, P.C.
• Commerce Medical Clinic
• Commerce Optometry, PLLC
• Commerce Pediatric Associates P.C.
• Commerce Primary Care, PC
• Commerce Township Dialysis Center LLC (Commerce Township Dialysis)
• Commerce Township Psychiatry,PLLC
• Matthew J Compton, M.D.
• Cooley Lake Neck and Back Care Clinic LLC

• Periodontics in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.