Eastside Periodontal Assoc Pllc
Periodontology Clinic
25523 Van Dyke Ave, Center Line
Michigan, 48015-1824
586-757-5454 586-757-4147
Maps & DirectionsEastside Periodontal Assoc Pllc is a Periodontology Clinic in Center Line, Michigan. It is located at 25523 Van Dyke Ave, Center Line, MI and its contact number is 586-757-5454. The authorized person for Eastside Periodontal Assoc Pllc is Mrs. Jennifer Lynn Wise
who is Office Manager of the clinic and their contact number is 586-757-5454. Other organizations associated with this clinic are Eastside Periodontal Assoc Pllc, Eastside Implants & Periodontics, The primary license number for Eastside Periodontal Assoc Pllc is B18275 (Periodontics) in Michigan.
Eastside Periodontal Assoc Pllc Clinic is specialized in that branch 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.
Complete Clinic Profile:
Eastside Periodontal Assoc Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Eastside Periodontal Assoc Pllc |
| Specialization: | Periodontology |
| Clinic Address: | 25523 Van Dyke Ave, Center Line,
Michigan, 48015-1824 |
| Phone: | 586-757-5454 |
| Fax: | 586-757-4147 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Jennifer Lynn Wise |
| Position: | Office Manager |
| Contact Number: | 586-757-5454 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Eastside Periodontal Assoc Pllc clinic are as mentioned below.
| NPI Number: | 1144312760 |
| NPI Enumeration Date: | 29 Sep, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Eastside Periodontal Assoc Pllc | Periodontology | 1144312760 |
| Eastside Implants & Periodontics | Periodontology | 1750098224 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastside Periodontal Assoc Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | B18275 | Michigan | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Eastside Periodontal Assoc Pllc
25523 Van Dyke Ave,
Center Line, Michigan |
| Zip: | 48015-1824 |
| Phone Number: | 586-757-5454 |
| Fax Number: | 586-757-4147 |
Patients can reach Eastside Periodontal Assoc Pllc at
25523 Van Dyke Ave, Center Line, Michigan or can
call to book an appointment on 586-757-5454.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.