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PORTAGE FAMILY DENTISTRY PLLC
NPI 1407493760
Clinic/Center - Dental in Portage, MI

Active since December 05, 2019
1112 E CENTRE AVE, PORTAGE, MI 49002(269) 327-3005 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Dec 5, 2019 (2 updates tracked since 2019).

About Portage Family Dentistry Pllc NPPES

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

PORTAGE FAMILY DENTISTRY PLLC (NPI 1407493760) is a healthcare organization registered as a dental in Portage, Michigan and active in the NPI registry since December 2019. The organization lists Allison T Crutchfield, Member, as its authorized official.

NPPES Registry Identity

NPI1407493760
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePORTAGE FAMILY DENTISTRY PLLC
Location Address1112 E CENTRE AVEPortage, MI 49002-5575
Mailing Address1112 E Centre AvePortage, MI 49002-5575 · (269) 327-3005
Phone(269) 327-3005
Organization SubpartNo
Authorized OfficialAllison T CrutchfieldMember · (269) 830-6609
Enumeration DateDecember 5, 2019
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1407493760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1112 E CENTRE AVE, Portage, MI 49002
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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.

DR. RAY CHRISTIAN VAN DE WALKER D.C.
Chiropractor
1112 E CENTRE AVE, SUITE C
PORTAGE, MI 49002
Kalamazoo County (269) 978-3000
DR. ALLISON TAR CRUTCHFIELD D.M.D.
Dentist
1112 E CENTRE AVE
PORTAGE, MI 49002
Kalamazoo County (269) 327-3005

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 Portage Family Dentistry PLLC's NPI number?

The NPI number for Portage Family Dentistry PLLC is 1407493760. It was assigned to this organization in the NPPES registry on December 5, 2019.

Where is Portage Family Dentistry PLLC located?

Portage Family Dentistry PLLC is located at 1112 E Centre Ave, Portage, MI 49002. The listed phone number is (269) 327-3005.

What is Portage Family Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Portage Family Dentistry PLLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.