Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Michigan Periodontics Group LLC

Periodontics in Chelsea, MI · enumerated 2017 · authorized official Shawn Etherton, Regional Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578002812

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Registry record

Entity type Organization (Type 2)

Legal business name Michigan Periodontics Group LLC

Practice address 350 N Main St Ste 110, Chelsea, MI, 48118

Phone (734) 719-2700

Enumeration date Feb 20, 2017

Last updated in NPPES Feb 20, 2017

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License 2901021083 (MI) Primary

Authorized official

Name Shawn Etherton

Title Regional Manager

Phone (616) 780-6879

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Michigan Periodontics Group LLC located?

The practice location on file with NPPES is in Chelsea, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-02-20. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-20.