OrganizationActive
Portwashingtonctd1 LLC
NPI 1992396360 · Dentist · Port Washington, WI
Provider details
- NPI number
- 1992396360
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mitchell Weiland, Assistant Controller(608) 343-0818
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
222 N Franklin St
Port Washington, WI 53074-1903
Phone: (262) 235-4525
Street-level locationGet directions
Mailing address
8025 Excelsior Dr
Madison, WI 53717-1900
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.