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PORT DENTAL
NPI 1801913173
Dentist - General Practice in Port Washington, WI

Active since March 23, 2007
1000 N WISCONSIN ST, PORT WASHINGTON, WI 53074(262) 284-9767(262) 284-5228 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Port Dental NPPES

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

PORT DENTAL (NPI 1801913173) is a healthcare organization registered as a general practice in Port Washington, Wisconsin and active in the NPI registry since March 2007. The organization lists Samone Aroonsavath, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1801913173
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePORT DENTAL GROUP SC
Location Address1000 N WISCONSIN STPort Washington, WI 53074-1285
Mailing Address1000 N Wisconsin StPort Washington, WI 53074-1285 · (262) 284-9767 · Fax (262) 284-5228
Phone(262) 284-9767
Fax(262) 284-5228
Organization SubpartNo
Authorized OfficialSamone AroonsavathOffice Manager · (262) 284-9767
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1801913173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 4635
Definition
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.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
1000 N WISCONSIN ST, Port Washington, WI 53074
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Other Names 1

Other NamePort Dental

Other Identifiers 1

Medicaid33723100WI

Other Providers at the Same Location NPPES 4

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

DR. CELESTINO F PEREZ D.D.S
Dentist (General Practice)
1000 N WISCONSIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-9767
DR. DAVID C. REIF D.C.
Chiropractor
1000 N WISCONSIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-7246
INDIVIDUAL GROWTH SERIVCES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N WISCONSIN ST, SUITE 5
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-9656
PORT CHIROPRACTIC INC.
Chiropractor
1000 N WISCONSIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-7246

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 Port Dental Group Sc's NPI number?

The NPI number for Port Dental Group Sc is 1801913173. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is also known as Port Dental.

Where is Port Dental Group Sc located?

Port Dental Group Sc is located at 1000 N Wisconsin St, Port Washington, WI 53074. The listed phone number is (262) 284-9767.

What is Port Dental Group Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Port Dental Group Sc was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.