# PORTER DENTISTRY, P.C.

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

## Provider details

- **NPI number:** 1588984298
- **Authorized official:** DR. TONIA-MARIE D PORTER DDS (DENTIST/OWNER)
- **Authorized official phone:** (615) 449-3222

## Contact information

- **Practice address:** 1633 W MAIN ST \# 200, LEBANON, TN 37087-3423
- **Practice address phone:** (615) 449-3222
- **Practice address fax:** (615) 449-3202
- **Mailing address:** 1633 W MAIN ST \# 200, LEBANON, TN 37087-3423
- **Mailing address phone:** (615) 449-3222
- **Mailing address fax:** (615) 449-3202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8643 | TN | Yes |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 08/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1530741 | — | TN |