MIDWEST FAMILY DENTAL CARE PORTAGE PC NPI 1902782592

NPI Information

  • NPI: 1902782592
  • Provider Name: MIDWEST FAMILY DENTAL CARE PORTAGE PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 706 W CENTRE AVE
    PORTAGE, MI
    ZIP 49024
  • Phone: (269) 323-1679

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NPI Details

MIDWEST FAMILY DENTAL CARE PORTAGE PC is a general practice dentist in Portage, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MIDWEST FAMILY DENTAL CARE PORTAGE PC NPI is 1902782592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

706 W CENTRE AVE
PORTAGE, MI
ZIP 49024-310
Phone: (269) 323-1679

The provider's authorized official is Paige Cochran .
The authorized official title is Billing Manager and has the following contact phone number (269) 355-6072.

The enumeration date for this NPI number is 8/12/2025 and was last updated on 8/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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