Port Dental is a Dental Clinic in Port Washington, Wisconsin. It is located at 1000 N Wisconsin St, Port Washington, WI and its contact number is 262-284-9767. The authorized person for Port Dental is Ms. Samone Aroonsavath
who is Office Manager of the clinic and their contact number is 262-284-9767. The primary license number for Port Dental is 4635 (General Practice) in Wisconsin. Port Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Port Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Port Dental
Specialization:
General Practice Dentistry
Clinic Address:
1000 N Wisconsin St, Port Washington, Wisconsin, 53074-1285
Phone:
262-284-9767
Fax:
262-284-5228
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:
Ms. Samone Aroonsavath
Position:
Office Manager
Contact Number:
262-284-9767
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 Port Dental clinic are as mentioned below.
NPI Number:
1801913173
NPI Enumeration Date:
23 Mar, 2007
NPI Last Update On:
06 Jul, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Port Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
4635
Wisconsin
Primary
Customized Equipment
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33723100
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Port Dental 1000 N Wisconsin St, Port Washington, Wisconsin
Zip:
53074-1285
Phone Number:
262-284-9767
Fax Number:
262-284-5228
Patients can reach Port Dental at 1000 N Wisconsin St, Port Washington, Wisconsin or can call to book an appointment on 262-284-9767. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.