Portage Family Dentistry Pllc

NPI #1407493760 in Portage, Michigan

Provider Information

NPI Number: 1407493760
Entity Type: Organization
Organization Name: Portage Family Dentistry Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 5, 2019
Last Updated: Nov 20, 2024

Practice Location

Address: 1112 E CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49002-5575
Phone: (269) 327-3005

Authorized Official

Name: DR. ALLISON T CRUTCHFIELD, DMD, MPH
Title: MEMBER
Phone: (269) 830-6609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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