# JOHN M. PORTER DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1003837972
- **Authorized official:** DR. JOHN MICHAEL PORTER DDS (PRESIDENT)
- **Authorized official phone:** (317) 842-6333

## Contact information

- **Practice address:** 8202 CLEARVISTA PKWY, BUILDING 5 SUITE B, INDIANAPOLIS, IN 46256-1400
- **Practice address phone:** (317) 842-6333
- **Mailing address:** 8202 CLEARVISTA PKWY, BUILDING 5 SUITE B, INDIANAPOLIS, IN 46256-1400
- **Mailing address phone:** (317) 842-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12007054A | IN | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 08/22/2020