Port Dental Group Sc
General Practice
1000 N Wisconsin St, Port Washington
Wisconsin, 53074-1285
262-284-9767 262-284-5228
Port Dental Group Sc is a General Practice in Port Washington, Wisconsin. It is located at 1000 N Wisconsin St, Port Washington and it's customer support contact number is 262-284-9767. The authorized person of Port Dental Group Sc is Ms. Samone Aroonsavath who is Office Manager of this DME and her contact number is 262-284-9767. Active license number of Port Dental Group Sc is 4635 for General Practice in Wisconsin.
Port Dental Group Sc is 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.
DME Supplier Details:
Port Dental Group Sc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Port Dental Group Sc |
| Type: | General Practice |
| Location: | 1000 N Wisconsin St, Port Washington,
Wisconsin, 53074-1285 |
| Phone: | 262-284-9767 |
| Fax: | 262-284-5228 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Samone Aroonsavath |
| Position: | Office Manager |
| Contact Number: | 262-284-9767 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1801913173 |
| NPI Enumeration Date: | 23 Mar, 2007 |
| NPI Last Update On: | 06 Jul, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Port Dental Group Sc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 4635 | Wisconsin | Primary | |
| Customized Equipment | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33723100 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1000 N Wisconsin St,
Port Washington, Wisconsin |
| Zip: | 53074-1285 |
| Phone Number: | 262-284-9767 |
| Fax Number: | 262-284-5228 |
Patients can reach Port Dental Group Sc at
1000 N Wisconsin St, Port Washington, Wisconsin or can
call on customer care at 262-284-9767.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.