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Dr. Jody Lynn Wrathall, DDS,MS
Pediatric Dentist in Portage, Michigan
NPI 1306142815

Jody Lynn Wrathall is a Pediatric Dentist based in Portage, MI and is specialized in Pediatric Dentistry. Jody Lynn Wrathall practices in Portage, MI and has the professional credentials of DDS,MS. The NPI Number for Jody Lynn Wrathall is 1306142815 and holds a License No. 2901020339 (Michigan).

The current practice location address for Jody Lynn Wrathall is 3020 Old Centre Rd, Portage, MI and can be reached out via phone at 269-328-8016 and via fax at 269-323-8524.

Location: 3020 Old Centre Rd, Portage, MI, 49024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306142815
Provider Name
Jody Lynn Wrathall
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Female
Address
3020 Old Centre Rd, Portage, MI, 49024
Phone Number
269-328-8016
Fax Number
269-323-8524
Provider Enumeration Date
01/31/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3020 Old Centre Rd
City
Portage
State
Michigan
Zip
49024
Phone Number
269-328-8016
Fax Number
269-323-8524
person
Provider Business Mailing Address Details
Address
3020 Old Centre Rd
City
Portage
State
Michigan
Zip
49024
Phone Number
269-328-8016
Fax Number
269-323-8524
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
2901020339 (Michigan)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2901020339 (Michigan)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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