# PORT CITY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043741424
- **Authorized official:** TERESA BEER (INSURANCE SPECIALIST)
- **Authorized official phone:** (231) 865-6945

## Contact information

- **Practice address:** 1848 E SHERMAN BLVD, SUITE C, MUSKEGON, MI 49444-1963
- **Practice address phone:** (231) 737-7745
- **Practice address fax:** (231) 737-3296
- **Mailing address:** 1848 E SHERMAN BLVD, SUITE C, MUSKEGON, MI 49444-1963
- **Mailing address phone:** (231) 737-7745
- **Mailing address fax:** (231) 737-3296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | MI | Yes |

## Other

- **Enumeration date:** 03/27/2017
- **Last updated:** 03/27/2017