National Provider Identifier Database

PERIODONTAL SPECIALISTS INC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

PERIODONTAL SPECIALISTS INC.
29160 CENTER RIDGE RD
SUITE J
WESTLAKE, OH44145-5225
Phone: 440-835-8883
Fax: 440-835-9395
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X
Periodontics 1223P0300X

* Indicates primary specialty

NPI Profile & details for PERIODONTAL SPECIALISTS INC.

NPI Number 1356484307
Legal business name
LBN
PERIODONTAL SPECIALISTS INC.
Authorized official ERIC GUIRGUIS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/15/2007
Last updated 03/25/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 18958

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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