| Port Dental | |
|
1000 N Wisconsin St Port Washington WI 53074-1285 | |
| (262) 284-9767 | |
| (262) 284-5228 |
| Full Name | Port Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1000 N Wisconsin St, Port Washington, Wisconsin |
| Authorized Official Name and Position | Samone Aroonsavath (OFFICE MANAGER) |
| Authorized Official Contact | 2622849767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Dental 1000 N Wisconsin St Port Washington WI 53074-1285 Ph: (262) 284-9767 | Port Dental 1000 N Wisconsin St Port Washington WI 53074-1285 Ph: (262) 284-9767 |
| NPI Number | 1801913173 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801913173 | NPI | - | NPPES |
| 33723100 | Medicaid | WI |
Pearl32 Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 S Spring St, Port Washington, WI 53074 Phone: 703-901-9596 | |
Barrett D. Straub Dds, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1349 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5505 Fax: 262-284-5198 | |
Steven J. Carini Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 N Franklin St, Port Washington, WI 53074 Phone: 262-284-2662 Fax: 262-284-5224 | |
Joshua E Leute Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-5884 Fax: 262-284-1840 | |
Portwashingtonctd1 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 N Franklin St, Port Washington, WI 53074 Phone: 262-235-4525 |