OrganizationActive
Port Pediatric Dentistry PC
NPI 1669080651 · Pediatric Dentistry · Holland, MI
Port Pediatric Dentistry PC is a Pediatric Dentistry organization in Holland, MI (NPI 1669080651).
Provider details
- NPI number
- 1669080651
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Suzanne Port, Dentist/Owner(616) 392-1100
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
291 W Lakewood Blvd
Holland, MI 49424-1969
Phone: (616) 392-1100
Fax: (616) 396-1117
Street-level locationGet directions
Mailing address
291 W Lakewood Blvd
Holland, MI 49424-1969
Registry dates
- Enumerated
- 2020-07-16
- Last updated
- 2020-07-16
- Certified
- 2020-07-16
Frequently asked questions
- What is Port Pediatric Dentistry PC's NPI number?
- Port Pediatric Dentistry PC's National Provider Identifier (NPI) is 1669080651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Pediatric Dentistry PC?
- Port Pediatric Dentistry PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Port Pediatric Dentistry PC located?
- Port Pediatric Dentistry PC's practice location on file with NPPES is 291 W Lakewood Blvd, Holland, MI 49424-1969.
- What is Port Pediatric Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Port Pediatric Dentistry PC is (616) 392-1100.
- Who is the authorized official for Port Pediatric Dentistry PC?
- The authorized official listed on Port Pediatric Dentistry PC's NPPES record is Suzanne Port, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Pediatric Dentistry PC's NPI active?
- Yes — Port Pediatric Dentistry PC's NPI (1669080651) is active in the NPPES registry as of the last update on 2020-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.