PERIODONTIC ASSOCIATES OF PORT HURON
NPI 1962783399
Dentist - Periodontics in Port Huron, MI

NPI Status: Active since August 30, 2011

Contact Information

1175 THOMAS EDISON DR
PORT HURON, MI
ZIP 48060
Phone: (810) 987-1400
Fax: (810) 987-1349

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  • Organization
  • Dentist
  • Periodontics

About PERIODONTIC ASSOCIATES OF PORT HURON

This page provides the complete NPI Profile along with additional information for Periodontic Associates Of Port Huron, a provider established in Port Huron, Michigan operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1962783399 assigned on August 2011. The practitioner's primary taxonomy code is 1223P0300X with license number MS012152 (MI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mark Koenen Setter D.d.s., M.s. (Owner)

NPI
1962783399
Provider Name
PERIODONTIC ASSOCIATES OF PORT HURON
Entity Type
Organization
Location Address
1175 THOMAS EDISON DR PORT HURON, MI 48060
Location Phone
(810) 987-1400
Location Fax
(810) 987-1349
Mailing Address
1175 THOMAS EDISON DR PORT HURON, MI 48060
Mailing Phone
(810) 987-1400
Mailing Fax
(810) 987-1349
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2011
Last Update Date
08-30-2011
Code Navigator

A dentist like Periodontic Associates Of Port Huron is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
MS012152
License State
MI
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK KOENEN SETTER D.D.S., M.S.

Authorized Official Title
OWNER
Authorized Official Phone
(810) 987-1400

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962783399
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221486318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 4 + 8 + 6 + 3 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1962783399 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760804983PERIDONTIC ASSOCIATES OF PORT HURON PLLC
Organization
Dentist (Periodontics)1175 THOMAS EDISON DR
PORT HURON, MI 48060
(810) 987-1400
1205042785DR. JASON G SOUYIAS DDS
Individual
Dentist (Periodontics)1175 THOMAS EDISON DR
PORT HURON, MI 48060
(810) 987-1400
1194133439 KRUPA PATEL D.M.D.
Individual
Dentist (General Practice)1175 THOMAS EDISON DR
PORT HURON, MI 48060
(810) 987-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962783399, enumerated in the NPI registry as an "organization" on August 30, 2011

The provider is located at 1175 Thomas Edison Dr Port Huron, Mi 48060 and the phone number is (810) 987-1400

This medical organization specializes in Dentist with taxonomy code 1223P0300X with a focus in Periodontics

This NPI record was last updated on August 30, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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