Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

West Milham Dental Prof PC

Organization Dentist · NPI 1194817734

West Milham Dental Prof PC provides Dentist services in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1416 W Milham
Portage, MI 49024-2245
Phone: (269) 381-0564
Fax: (269) 381-4965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901011980 (MI)

Record details

NPI number1194817734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Bukowski — Owner Dentist · (269) 381-0564
Other names Mary Ann Bukowski Dds
NPI enumeratedSeptember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1416 W Milham, Portage, MI 49024-2245

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