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PORTWASHINGTONCTD1 LLC
NPI 1992396360
Dentist in Port Washington, WI

Active since January 28, 2021
222 N FRANKLIN ST, PORT WASHINGTON, WI 53074(262) 235-4525 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portwashingtonctd1 Llc NPPES

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

PORTWASHINGTONCTD1 LLC (NPI 1992396360) is a healthcare organization registered as a dentist in Port Washington, Wisconsin and active in the NPI registry since January 2021. The organization lists Mitchell T Weiland, Assistant Controller, as its authorized official.

NPPES Registry Identity

NPI1992396360
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePORTWASHINGTONCTD1 LLC
Location Address222 N FRANKLIN STPort Washington, WI 53074-1903
Mailing Address8025 Excelsior DrMadison, WI 53717-1900 · (608) 343-0818
Phone(262) 235-4525
Organization SubpartNo
Authorized OfficialMitchell T WeilandAssistant Controller · (608) 343-0818
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1992396360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
222 N FRANKLIN ST, Port Washington, WI 53074
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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.

STEVEN J. CARINI DDS
Dentist
222 N FRANKLIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-2662
DR. STEVEN J CARINI D.D.S.
Dentist
222 N FRANKLIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-0062

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 Portwashingtonctd1 LLC's NPI number?

The NPI number for Portwashingtonctd1 LLC is 1992396360. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Portwashingtonctd1 LLC located?

Portwashingtonctd1 LLC is located at 222 N Franklin St, Port Washington, WI 53074. The listed phone number is (262) 235-4525.

What is Portwashingtonctd1 LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Portwashingtonctd1 LLC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.