Peridontic Associates of Port Huron PLLC
NPI 1760804983ActiveOrganization· Dentist, Periodontics· Port Huron, MI
Dentist, Periodontics in Port Huron, Michigan, registered in NPPES in January 2014. The authorized official on file is Jason George Souyias, D.D.S, Partner.
Overview
| NPI | 1760804983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2014 |
| Last updated in NPPES | Jan 7, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | JS019200 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Dentist, Periodontics providers in Port Huron
- 1962783399
- 1205042785
- 1659341329