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

Portage Northern Dental

Organization Dental Clinic/Center · NPI 1295486512

Portage Northern Dental is a Dental Clinic/Center in Portage, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1220 W Milham Ave
Portage, MI 49024-1206
Phone: (269) 382-5040
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1295486512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Heise — Insurance Specialist · (231) 246-2204
NPI enumeratedJanuary 18, 2022
Last updated in NPPESJanuary 18, 2022
Certification dateJanuary 18, 2022
Mailing address1220 W Milham Ave, Portage, MI 49024-1206

Other providers in Portage