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Port Dental Group Sc

General Practice Dentistry in Port Washington, WI · enumerated 2007 · authorized official Samone Aroonsavath, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801913173

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Registry record

Entity type Organization (Type 2)
Legal business name Port Dental Group Sc
Other name <Unavail>
Practice address 1000 N Wisconsin St, Port Washington, WI, 53074
Phone (262) 284-9767
Fax (262) 284-5228
Enumeration date Mar 23, 2007
Last updated in NPPES Jul 6, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 4635 (WI) Primary
332BC3200X Customized Equipment (DME) Suppliers Secondary

Authorized official

Name Samone Aroonsavath
Title Office Manager
Phone (262) 284-9767

Other identifiers

Identifier Type State Issuer
33723100 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-07-06. Verify at npiregistry.cms.hhs.gov.
Where is Port Dental Group Sc located?
The practice location on file with NPPES is in Port Washington, WI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-06.