Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Pediatric Dentistry PC

Organization Pediatric Dentistry · NPI 1669080651

Port Pediatric Dentistry PC is a Pediatric Dentistry in Holland, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

291 W Lakewood Blvd
Holland, MI 49424-1969
Phone: (616) 392-1100
Fax: (616) 396-1117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1669080651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Port — Dentist/Owner · (616) 392-1100
NPI enumeratedJuly 16, 2020
Last updated in NPPESJuly 16, 2020
Certification dateJuly 16, 2020
Mailing address291 W Lakewood Blvd, Holland, MI 49424-1969

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