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, Wisnova Llc,
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 |
| Wisnova Llc | Endodontics | 1881573806 |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.