PORTAGE PEDIATRIC DENTISTRY PLC is a pediatric dentistry dentist in Portage, MI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PORTAGE PEDIATRIC DENTISTRY PLC NPI is 1366817827. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Portage Pediatric Dentistry.
The provider's business location address is:
6121 S WESTNEDGE AVE
PORTAGE, MI
ZIP 49002-882
Phone: (269) 323-8016
Fax: (269) 323-8524
The provider's authorized official is Jody L Wrathall .
The authorized official title is Owner and has the following contact phone number (269) 323-8016.
The enumeration date for this NPI number is 12/9/2015 and was last updated on 12/9/2015.