Organization · Type 2 NPI
Portage Pediatric Dentistry PLC
Pediatric Dentistry · Portage, MI
NPI number
1366817827
Active
Practice location
6121 S Westnedge Ave
Portage, MI 49002-2882
Fax (269) 323-8524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2901020339 (MI) |
| Pediatric Dentistry | 1223P0221X | 2901009877 (MI) |
Pediatric Dentistry: 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.
2 other providers at this address
Other pediatric dentistry providers in Portage
About NPI 1366817827
Portage Pediatric Dentistry PLC's National Provider Identifier is 1366817827, issued on Dec 9, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portage, MI. The record was last updated on Dec 9, 2015.