institution
Portage Pediatric Dentistry Plc
Pediatric Dentist in Portage, Michigan
NPI 1366817827

Portage Pediatric Dentistry Plc is a Pediatric Dentist based in Portage, MI and is specialized in Pediatric Dentistry. Portage Pediatric Dentistry Plc practices in Portage, MI. The NPI Number for Portage Pediatric Dentistry Plc is 1366817827 and holds a License No. 2901020339 (Michigan).

The current practice location address for Portage Pediatric Dentistry Plc is 6121 S Westnedge Ave, Portage, MI and can be reached out via phone at 269-323-8016 and via fax at 269-323-8524.

Location: 6121 S Westnedge Ave, Portage, MI, 49002-2882
institution
Provider Profile Details
NPI Number
1366817827
Provider Name
Portage Pediatric Dentistry Plc
Credential
Provider Entity Type
Organization
Address
6121 S Westnedge Ave, Portage, MI, 49002-2882
Phone Number
269-323-8016
Fax Number
269-323-8524
Provider Enumeration Date
12/09/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6121 S Westnedge Ave
City
State
Zip
49002-2882
Phone Number
269-323-8016
Fax Number
269-323-8524
person
Provider Business Mailing Address Details
Address
6121 S Westnedge Ave
City
State
Zip
49002-2882
Phone Number
269-323-8016
Fax Number
269-323-8524
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
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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