Organization
PERIODONTAL SPECIALISTS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FREDERICK SILVERSTON DDS MS (PARTNER)
(810) 227-7427
Entity
Organization
Contact information
Practice address
8619 WEST GRAND RIVER, SUITE F, BRIGHTON, MI 48116
(810) 227-7427
(810) 227-8248
Mailing address
8619 WEST GRAND RIVER, SUITE F, BRIGHTON, MI 48116
(810) 227-7427
(810) 227-8248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10031
MI
122300000X
Dentist
14883
MI
122300000X
Dentist
Primary
9095
MI
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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