Provider Demographics
NPI:1013790898
Name:PINCKNEY IMPLANTS & PERIODONTICS
Entity Type:Organization
Organization Name:PINCKNEY IMPLANTS & PERIODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PERIODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:AMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KATRANJI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:734-975-1743
Mailing Address - Street 1:1245 E. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169
Mailing Address - Country:US
Mailing Address - Phone:734-531-7557
Mailing Address - Fax:734-531-7558
Practice Address - Street 1:1245 E. MAIN STREET
Practice Address - Street 2:
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169
Practice Address - Country:US
Practice Address - Phone:734-531-7557
Practice Address - Fax:734-531-7558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty