Aesthetic Periodontology

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

19200 Issued in MI

Legal business name

AESTHETIC PERIODONTOLOGY

Practice address

2251 N Squirrel Rd
Suite 301
Auburn Hills, MI 48326-4600

Phone

(248) 373-3377

Fax

(248) 373-3388

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason G Souyias

Title

President

Phone

(248) 373-3377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871631168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD",
            "address_2": "SUITE 301",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264600",
            "telephone_number": "248-373-3377",
            "fax_number": "248-373-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD",
            "address_2": "SUITE 301",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264600",
            "telephone_number": "248-373-3377",
            "fax_number": "248-373-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC PERIODONTOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUYIAS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-373-3377",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "19200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Suzanne Albinger
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• Periodontics in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.