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

Portwashingtonctd1 LLC

Organization Dentist · NPI 1992396360

Portwashingtonctd1 LLC is a Dentist in Port Washington, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021
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

222 N Franklin St
Port Washington, WI 53074-1903
Phone: (262) 235-4525
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1992396360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Weiland — Assistant Controller · (608) 343-0818
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021
Mailing address8025 Excelsior Dr, Madison, WI 53717-1900

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