OrganizationActive
Portage Pediatric Dentistry PLC
NPI 1366817827 · Pediatric Dentistry · Portage, MI
Portage Pediatric Dentistry PLC is a Pediatric Dentistry organization in Portage, MI (NPI 1366817827).
Provider details
- NPI number
- 1366817827
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jody Wrathall, Owner(269) 323-8016
- License
- 2901009877 (MI)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6121 S Westnedge Ave
Portage, MI 49002-2882
Phone: (269) 323-8016
Fax: (269) 323-8524
Street-level locationGet directions
Mailing address
6121 S Westnedge Ave
Portage, MI 49002-2882
Other names (DBA / former)
- Doing business as
- Portage Pediatric Dentistry
Registry dates
- Enumerated
- 2015-12-09
- Last updated
- 2015-12-09
Frequently asked questions
- What is Portage Pediatric Dentistry PLC's NPI number?
- Portage Pediatric Dentistry PLC's National Provider Identifier (NPI) is 1366817827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portage Pediatric Dentistry PLC?
- Portage Pediatric Dentistry PLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Portage Pediatric Dentistry PLC located?
- Portage Pediatric Dentistry PLC's practice location on file with NPPES is 6121 S Westnedge Ave, Portage, MI 49002-2882.
- What is Portage Pediatric Dentistry PLC's phone number?
- The practice phone number listed in the NPPES registry for Portage Pediatric Dentistry PLC is (269) 323-8016.
- Who is the authorized official for Portage Pediatric Dentistry PLC?
- The authorized official listed on Portage Pediatric Dentistry PLC's NPPES record is Jody Wrathall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portage Pediatric Dentistry PLC's NPI active?
- Yes — Portage Pediatric Dentistry PLC's NPI (1366817827) is active in the NPPES registry as of the last update on 2015-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.