Individual provider · Type 1 NPI

Suzanne K. Port, DDS MS

Pediatric Dentistry · Holland, MI

NPI number 1700925690 Active

Practice location

291 W Lakewood Blvd
Holland, MI 49424

Call (616) 392-1100 Map

Fax (616) 396-1117

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2901018529 (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.

5 other providers at this address

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About NPI 1700925690

Suzanne K. Port, DDS MS's National Provider Identifier is 1700925690, issued on Feb 6, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Holland, MI. The record was last updated on Jul 8, 2007.