Organization · Type 2 NPI

Port Dental Group SC

General Practice Dentistry · Port Washington, WI

NPI number 1801913173 Active

Practice location

1000 N Wisconsin St
Port Washington, WI 53074-1285

Fax (262) 284-5228

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4635 (WI)
Customized Equipment (DME) 332BC3200XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1801913173

Port Dental Group SC's National Provider Identifier is 1801913173, issued on Mar 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Port Washington, WI. The record was last updated on Jul 6, 2020.