# PERMIAN BASIN ORAL SURGERY & DENTAL IMPLANT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Permian Basin Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922288539
- **Authorized official:** DR. KEVIN ERIC PORTER D.D.S. M.D. (PRESIDENT)
- **Authorized official phone:** (432) 333-6585

## Contact information

- **Practice address:** 8101 DORADO DR, ODESSA, TX 79765-8533
- **Practice address phone:** (432) 333-6585
- **Mailing address:** 8101 DORADO DR, ODESSA, TX 79765-8533
- **Mailing address phone:** (432) 333-6585

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2007
- **Last updated:** 07/12/2016