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PORTAGE PEDIATRIC DENTISTRY PLC
NPI 1205693181
Dentist - Pediatric Dentistry in Portage, MI

Active since March 06, 2024
3020 OLD CENTRE RD, PORTAGE, MI 49024(269) 323-8016 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portage Pediatric Dentistry Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTAGE PEDIATRIC DENTISTRY PLC (NPI 1205693181) is a healthcare organization registered as a pediatric dentistry in Portage, Michigan and active in the NPI registry since March 2024. The organization lists Carol Guevara, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1205693181
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCBMI2 PLLC
Location Address3020 OLD CENTRE RDPortage, MI 49024-4883
Mailing Address3020 Old Centre RdPortage, MI 49024-4883 · (269) 323-8016
Phone(269) 323-8016
Organization SubpartNo
Authorized OfficialCarol GuevaraInsurance Coordinator · (616) 264-4709
Enumeration DateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1205693181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
3020 OLD CENTRE RD, Portage, MI 49024
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Other Names 1

Other NamePortage Pediatric Dentistry Plc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKIE HWANG
Dentist (Pediatric Dentistry)
3020 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 323-8016
DR. JODY LYNN WRATHALL D.D.S., M.S.
Dentist (Pediatric Dentistry)
3020 OLD CENTRE RD
PORTAGE, MI 49024
Kalamazoo County (269) 328-8016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cbmi2 PLLC's NPI number?

The NPI number for Cbmi2 PLLC is 1205693181. It was assigned to this organization in the NPPES registry on March 6, 2024. The provider is also known as Portage Pediatric Dentistry Plc.

Where is Cbmi2 PLLC located?

Cbmi2 PLLC is located at 3020 Old Centre Rd, Portage, MI 49024. The listed phone number is (269) 323-8016.

What is Cbmi2 PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Cbmi2 PLLC was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.