Periodontal Specialists of Clarkston PC
NPI 1225774789ActiveOrganization· Dentist, Periodontics· Clarkston, MI
Dentist, Periodontics in Clarkston, Michigan, registered in NPPES in May 2022. The authorized official on file is Pam Strader, Insurance Coordinator.
Overview
| NPI | 1225774789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2022 |
| Last updated in NPPES | May 9, 2022 |
| Certified by provider | Apr 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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