# PORTER, MARTIN, SALMAN, P.A.

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

## Provider details

- **NPI number:** 1689628604
- **Authorized official:** DR. BRADFORD J. PORTER DDS (PRESIDENT)
- **Authorized official phone:** (856) 596-9099

## Contact information

- **Practice address:** 94 BRICK RD, WEST JERSEY MEDICAL PLAZA STE. 100, MARLTON, NJ 08053-2179
- **Practice address phone:** (856) 596-9099
- **Practice address fax:** (856) 983-5946
- **Mailing address:** 94 BRICK RD, WEST JERSEY MEDICAL PLAZA STE. 100, MARLTON, NJ 08053-2179
- **Mailing address phone:** (856) 596-9099
- **Mailing address fax:** (856) 983-5946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DI14482 | NJ | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/16/2016