Port Road Dental LLC
NPI 1871413864ActiveOrganization· Dentist, General Practice· Glendale, WI
Dentist, General Practice in Glendale, Wisconsin, registered in NPPES in July 2026. The authorized official on file is David Michael Glincher, Office Administrator.
Overview
| NPI | 1871413864 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2026 |
| Last updated in NPPES | Jul 20, 2026 |
| Certified by provider | Jul 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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