# PORTER & ASSOCIATES DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jeffrey L Porter DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326173659
- **Authorized official:** DR. JEFFREY L PORTER DDS (PRESIDENT)
- **Authorized official phone:** (231) 547-9516

## Contact information

- **Practice address:** 201 BRIDGE PARK DRIVE, CHARLEVOIX, MI 49720
- **Practice address phone:** (231) 547-9516
- **Mailing address:** 201 BRIDGE PARK DRIVE, CHARLEVOIX, MI 49720
- **Mailing address phone:** (231) 547-9516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901009449 | MI | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5315008824 | ST BOARD OF PHARMACY | MI |