Advanced Periodontics/Implantology

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

ADVANCED PERIODONTICS/IMPLANTOLOGY

Practice address

40400 Ann Arbor Rd E
Suite 204a
Plymouth, MI 48170-6615

Phone

(734) 459-4077

Fax

(734) 459-4084

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda F Murphy

Title

Office Manager

Phone

(734) 459-4077

Specialties & licenses 1

Addresses

Tax ID family

Advanced Periodontics Implantology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Periodontics Implantology

  • Periodontics
  • Huntington Woods, MI
  • NPI 1942627450
  NPD tax ID

Locations

Practitioners 2

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

• Leyvee Cabanilla Jacobs, DDS, MSD

  • Periodontics
  • Plymouth, MI
  • NPI 1649374877
  NPD (past)
• Shilpa Kolhatkar, DDS, MDS

  • Periodontics
  • Plymouth, MI
  • NPI 1598857336
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1972920478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40400 ANN ARBOR RD E",
            "address_2": "SUITE 204A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706615",
            "telephone_number": "734-459-4077",
            "fax_number": "734-459-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40400 ANN ARBOR RD E",
            "address_2": "SUITE 204A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706615",
            "telephone_number": "734-459-4077",
            "fax_number": "734-459-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PERIODONTICS/IMPLANTOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-459-4077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belen Admassu
• Admiration Inc
• Advanced Back Solutions
• Advanced Family Dentistry-Plymouth PLLC
• Advanced Family Dentistry, PC
• Brian Agacinski
• Neha Agrawal, PT
• Katlynn Ahearn
• Iyah Ahmad
• Abrar Ahmed

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.