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

Portage Family Dentistry PLLC

Organization Dental Clinic/Center · NPI 1407493760

Portage Family Dentistry PLLC is a Dental Clinic/Center in Portage, Michigan. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1112 E Centre Ave
Portage, MI 49002-5575
Phone: (269) 327-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1407493760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allison Crutchfield — Member · (269) 830-6609
NPI enumeratedDecember 5, 2019
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address1112 E Centre Ave, Portage, MI 49002-5575

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