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Eastside Implants and Periodontics

NPI 1932946464ActiveOrganization· Dentist, Periodontics· Center Line, MI

Dentist, Periodontics in Center Line, Michigan, registered in NPPES in July 2024. The authorized official on file is Kelly Misch, D.D.S., M.S., Owner/Periodontist.

Overview

NPI1932946464
StatusActive
Entity typeOrganization
NPI issuedJul 11, 2024
Last updated in NPPESJul 11, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other periodontists in Center Line

All periodontists in Michigan