Port Dental Group SC
Port Dental Group SC provides General Practice Dentistry in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1000 N Wisconsin StPort Washington, WI 53074-1285
Phone: (262) 284-9767
Fax: (262) 284-5228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 4635 (WI) |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
Record details
| NPI number | 1801913173 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samone Aroonsavath — Office Manager · (262) 284-9767 |
| Other names | Port Dental; Port Dental |
| NPI enumerated | March 23, 2007 |
| Last updated in NPPES | July 6, 2020 |
| Certification date | July 6, 2020 |
| Mailing address | 1000 N Wisconsin St, Port Washington, WI 53074-1285 |
Other providers in Port Washington
-
Dr. William A Covelli, DDS
1317 W Grand Ave, Port Washington, WI 53074 · (262) 284-5884
-
Joshua E Leute DDS SC
1317 W Grand Ave, Port Washington, WI 53074 · (262) 284-5884
-
Dr. Joshua E Leute, DDS
1317 W Grand Ave, Port Washington, WI 53074 · (262) 284-5884
-
Dr. Celestino F Perez, DDS
1000 N Wisconsin St, Port Washington, WI 53074-1285 · (262) 284-9767
-
Barrett Duane Straub, DDS
1349 W Grand Ave, Port Washington, WI 53074-2043 · (262) 284-5505
-
Dr. Daniel P Witkowski, DDS
1612 N Wisconsin St, Port Washington, WI 53074 · (262) 284-7151