Periodontal Specialists of Grand Blanc PC
NPI 1780861484ActiveOrganization· Dentist, Periodontics· Grand Blanc, MI
Dentist, Periodontics in Grand Blanc, Michigan, registered in NPPES in January 2008. The authorized official on file is Kelly Lynn Coggins, Business Office Asst.
Overview
| NPI | 1780861484 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2008 |
| Last updated in NPPES | Jan 24, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 16909 | MI |
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 |
|---|
Other periodontists in Grand Blanc
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