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

Port Road Dental LLC

Organization Dentist · NPI 1871413864

Port Road Dental LLC is a Dentist in Glendale, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7725 N Port Washington Rd
Glendale, WI 53217-3130
Phone: (414) 202-5215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X

Record details

NPI number1871413864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Glincher — Office Administrator · (414) 351-6300
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address7725 N Port Washington Rd, Glendale, WI 53217-3130

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