DR. PHILLIP PORTERA, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1437148483
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 2630-91 (MS) |
| Dentist - General Practice | 1223G0001X | Yes | 2630-91 (MS) |
Frequently Asked Questions
NPI 1437148483 is the National Provider Identifier for DR. PHILLIP PORTERA, D.M.D., a Dentist - General Practice provider located in Keesler Afb, MS. This NPI was enumerated on October 20, 2005.
DR. PHILLIP PORTERA, D.M.D. practices at 301 FISHER ST, Keesler Afb, MS 39534.
Quick Facts
- NPI
- 1437148483
- Type
- Individual
- Enumerated
- Oct 20, 2005
- Last Updated
- Apr 30, 2018
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