| Portage Pediatric Dentistry | |
|
6121 S Westnedge Ave Portage MI 49002-2882 | |
| (269) 323-8016 | |
| (269) 323-8524 |
| Full Name | Portage Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6121 S Westnedge Ave, Portage, Michigan |
| Authorized Official Name and Position | Jody L Wrathall (OWNER) |
| Authorized Official Contact | 2693238016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Pediatric Dentistry 6121 S Westnedge Ave Portage MI 49002-2882 Ph: (269) 323-8016 | Portage Pediatric Dentistry 6121 S Westnedge Ave Portage MI 49002-2882 Ph: (269) 323-8016 |
| NPI Number | 1366817827 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366817827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2901020339 (Michigan) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 2901009877 (Michigan) | Secondary |
Centre Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 W Centre Ave, Portage, MI 49024 Phone: 269-323-3128 Fax: 269-323-2005 | |
Johnson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1617 E Milham Ave, Portage, MI 49002 Phone: 269-381-7250 Fax: 269-381-7260 | |
Dental Dreams Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 S Westnedge Ave, Portage, MI 49002 Phone: 269-382-6656 | |
Scott Ellard Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5835 Oakland Drive, Portage, MI 49024 Phone: 269-329-1880 Fax: 269-329-1886 | |
Pei Wei Linda Lin Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 S Westnedge Ave, Portage, MI 49002 Phone: 269-329-7900 Fax: 269-329-1372 | |
Dan J Vandermeulen Dds Ms & Ronald W Reoch Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8191 Moorsbridge Rd, Ste A, Portage, MI 49024 Phone: 269-323-1022 Fax: 269-323-0702 | |
West Wind Family &cosmetic Denistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1617 E Milham Ave, Portage, MI 49002 Phone: 269-381-7770 Fax: 269-381-7790 |