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

West Milham Dental Prof PC

Organization Dentist · NPI 1194817734

West Milham Dental Prof PC is a Dentist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

1416 W Milham
Portage, MI 49024-2245
Phone: (269) 381-0564
Fax: (269) 381-4965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901011980 (MI)

Record details

NPI number1194817734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Bukowski — Owner Dentist · (269) 381-0564
Other names Mary Ann Bukowski Dds
NPI enumeratedSeptember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1416 W Milham, Portage, MI 49024-2245

Other providers in Portage