Portage Pediatric Dentistry
Pediatric Dental Clinic
6121 S Westnedge Ave, Portage
Michigan, 49002-2882
269-323-8016 269-323-8524
Maps & DirectionsPortage Pediatric Dentistry is a Pediatric Dental Clinic in Portage, Michigan. It is located at 6121 S Westnedge Ave, Portage, MI and its contact number is 269-323-8016. The authorized person for Portage Pediatric Dentistry is Dr. Jody L Wrathall
who is Owner of the clinic and their contact number is 269-323-8016. Other organizations associated with this clinic are Portage Pediatric Dentistry Plc, Kwong Orthodontics, Pc, The primary license number for Portage Pediatric Dentistry is 2901020339 (Pediatric Dentistry) in Michigan.
Portage Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Portage Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Portage Pediatric Dentistry |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 6121 S Westnedge Ave, Portage,
Michigan, 49002-2882 |
| Phone: | 269-323-8016 |
| Fax: | 269-323-8524 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jody L Wrathall |
| Position: | Owner |
| Contact Number: | 269-323-8016 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Portage Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1366817827 |
| NPI Enumeration Date: | 09 Dec, 2015 |
| NPI Last Update On: | 09 Dec, 2015 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Portage Pediatric Dentistry Plc | Pediatric Dentistry | 1366817827 |
| Kwong Orthodontics, Pc | Orthodontics and Dentofacial Orthopedics | 1669897807 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Portage Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 2901020339 | Michigan | Primary | |
| Pediatric Dentistry | 2901009877 | Michigan | Secondary | |