Southport Periodontics is a Periodontology Clinic in Kenosha, Wisconsin. It is located at 5021 Washington Rd, Kenosha, WI and its contact number is 262-654-6770. The authorized person for Southport Periodontics is Patricia Jenkins
who is Manager of the clinic and their contact number is 262-654-6770. Other organizations associated with this clinic are Southport Periodontics, Ids, Southport Periodontics Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Southport Periodontics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southport Periodontics
Specialization:
Periodontology
Clinic Address:
5021 Washington Rd, Kenosha, Wisconsin, 53144
Phone:
262-654-6770
Fax:
262-654-6727
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:
Patricia Jenkins
Position:
Manager
Contact Number:
262-654-6770
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 Southport Periodontics clinic are as mentioned below.
NPI Number:
1679064901
NPI Enumeration Date:
22 May, 2018
NPI Last Update On:
22 May, 2018
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
Southport Periodontics
Periodontology
1679064901
Ids
Endodontics
1689213787
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southport Periodontics are as mentioned below.
Specialization
License Number
State
Status
Periodontics
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southport Periodontics 5021 Washington Rd, Kenosha, Wisconsin
Zip:
53144-4292
Phone Number:
262-654-6770
Fax Number:
262-654-6727
Patients can reach Southport Periodontics at 5021 Washington Rd, Kenosha, Wisconsin or can call to book an appointment on 262-654-6770. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.