Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jody Lynn Wrathall, DDS, MS

Individual provider Dentist · NPI 1306142815

Dr. Jody Lynn Wrathall, DDS, MS is a Dentist in Portage, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3020 Old Centre Rd
Portage, MI 49024
Phone: (269) 328-8016
Fax: (269) 323-8524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6121 S. Westnedge Ave., Portage, MI 49002 — (269) 323-8016

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901020339 (MI)
Dentist Taxonomy 122300000X · Licence 2901020339 (MI)

Record details

NPI number1306142815
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedJanuary 31, 2011
Last updated in NPPESMarch 17, 2018

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