Portage 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
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Portage Pediatric Dentistry 6121 S Westnedge Ave, Portage, Michigan
Zip:
49002-2882
Phone Number:
269-323-8016
Fax Number:
269-323-8524
Patients can reach Portage Pediatric Dentistry at 6121 S Westnedge Ave, Portage, Michigan or can call to book an appointment on 269-323-8016. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.