Troy Periodontics & Dental Implants

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

TROY PERIODONTICS & DENTAL IMPLANTS

Practice address

2025 W Long Lake Rd Ste 112
Troy, MI 48098-4100

Phone

(248) 267-8900

Fax

(248) 267-8904

NPI assigned

Jun 11, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Omar Mario Masabni, DDS, MSNPI 1477089431

Title

Periodontist and Implant Surgeon

Phone

(248) 267-8900

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Omar Mario Masabni, B.D.S., D.D.S., M.S.

  • Periodontics
  • Village of Clarkston, MI
  • NPI 1477089431
  NPD Authorized official
• Samuel Korkis, DDS, MS

  • Periodontics
  • Troy, MI
  • NPI 1538529045
  NPD (past)
• Douglas L Sweeney, D.D.S., M.S.

  • Periodontics
  • Troy, MI
  • NPI 1134221666
  NPD (past)

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1821922154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W LONG LAKE RD STE 112",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984100",
            "telephone_number": "248-267-8900",
            "fax_number": "248-267-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W LONG LAKE RD STE 112",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984100",
            "telephone_number": "248-267-8900",
            "fax_number": "248-267-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY PERIODONTICS & DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "MASABNI",
        "authorized_official_first_name": "OMAR MARIO",
        "authorized_official_title_or_position": "PERIODONTIST AND IMPLANT SURGEON",
        "authorized_official_telephone_number": "248-267-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Medical Group LLC
• Troy Medical P C
• Troy Metro Dental
• Troy Neuropathy Center PLLC
• Troy Pediatrics
• Troy Physical Therapy Services LLC
• Troy Podiatrist PC
• Troy Primary Care Center, P.C.
• Troy Professional Pharmacy Inc
• Troy RX Pharmacy LLC

• Periodontics in Troy, MI
• Providers in Troy, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.