Professional Periodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901017594 Issued in MI

Legal business name

PROFESSIONAL PERIODONTICS

Practice address

30101 Hoover Rd Ste a
Warren, MI 48093-6572

Phone

(586) 751-0070

NPI assigned

Feb 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Meraw, DDSNPI 1992715478

Title

President

Phone

(586) 751-0070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen J Meraw, DDS, MS

  • Periodontics
  • Warren, MI
  • NPI 1992715478
  NPD (past) Authorized official

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361059200000",
    "number": "1699015339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 HOOVER RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 HOOVER RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936572",
            "telephone_number": "586-751-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-17",
        "last_updated": "2013-02-17",
        "status": "A",
        "authorized_official_last_name": "MERAW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-751-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901017594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Emily Pritchard-Hryshko, LLMSW
• Pro Dental Mi 1 PC
• Problem Solved Counseling Service LLC
• Professional Dental Alliance of Michigan,LLC
• Professional Family Eyecare Inc.
• Professional PT and Rehab PC
• Professional Rehab & Pain Management PC
• Progressive Podiatry PLC
• Progressive Rehab Network LTD
• Pros-Tech, Inc.

• Dental Clinic/Center in Warren, MI
• Providers in Warren, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2013; 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.