Port Dental Group Sc
Customized Equipment Clinic | Durable Medical Equipment & Medical Supplies
1000 N Wisconsin St, Port Washington
Wisconsin, 53074-1285
262-284-9767 262-284-5228
Maps & DirectionsPort Dental Group Sc is a Durable Medical Equipment & Medical Supplies (Customized Equipment) 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 Group Sc 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 Group Sc is 4635 (General Practice) in Wisconsin.
Port Dental Group Sc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Port Dental Group Sc 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 Group Sc |
| Specialization: | Customized Equipment, Durable Medical Equipment & Medical Supplies |
| 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 Group Sc 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 Group Sc 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 Group Sc
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 Group Sc at
1000 N Wisconsin St, Port Washington, Wisconsin or can
call to book an appointment on 262-284-9767.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.