John M. Porter Dds | |
8202 Clearvista Pkwy Building 5 Suite B Indianapolis IN 46256-1400 | |
(317) 842-6333 | |
Not Available |
Full Name | John M. Porter Dds |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 8202 Clearvista Pkwy, Indianapolis, Indiana |
Authorized Official Name and Position | John Michael Porter (PRESIDENT) |
Authorized Official Contact | 3178426333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John M. Porter Dds 8202 Clearvista Pkwy Building 5 Suite B Indianapolis IN 46256-1400 Ph: (317) 842-6333 | John M. Porter Dds 8202 Clearvista Pkwy Building 5 Suite B Indianapolis IN 46256-1400 Ph: (317) 842-6333 |
NPI Number | 1003837972 |
---|---|
Provider Enumeration Date | 07/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003837972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12007054A (Indiana) | Primary |
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