Robert S Portenga in Traverse City - Orthodontics And Dentofacial Orthopedics
Robert S Portenga - NPI 1184753691
Robert S Portenga is a Orthodontics And Dentofacial Orthopedics in Traverse City, Michigan. Robert S Portenga practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Robert S Portenga is 1184753691. The last update date is 2007-07-08.
Robert S Portenga's current location address is 432 Munson Pl, Traverse City, Michigan. You can contact this provider via phone number 2319473570 and fax number 2319475160. The mailing address for Robert S Portenga is 432 Munson Pl, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert S Portenga |
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Address | 432 Munson Pl, Traverse City, Michigan |
Phone Number | 2319473570 |
Fax Number | 2319475160 |
Sole Proprietor | Y |
Credentials | D.D.S., M. |
NPI Number Detail
NPI Number | 1184753691 |
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Provider Enumeration Date | 2007-03-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 432 Munson Pl |
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City | Traverse City |
State | Michigan (MI) |
Post Code | 496863098 |
Phone Number | 2319473570 |
Fax Number | 2319475160 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 2901009781 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Post Comment/ Review Below
What is the Robert S Portenga's unique identification number?
The Robert S Portenga has been assigned the NPI (National Provider Identifier) Number 1184753691 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Robert S Portenga is physically located?
The Robert S Portenga is situated at the following address: 432 Munson Pl, Traverse City, MI 496863098.
What is Robert S Portenga's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert S Portenga is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did Robert S Portenga receive its 1184753691 assignment from the Centers for Medicare & Medicaid Services?
The Robert S Portenga was assigned its 1184753691 on 2007-03-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Robert S Portenga most recently updated or revised?
The information pertaining to Robert S Portenga, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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