Organization
JOHN M. PORTER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL PORTER DDS (PRESIDENT)
(317) 842-6333
Entity
Organization
Contact information
Practice address
8202 CLEARVISTA PKWY, BUILDING 5 SUITE B, INDIANAPOLIS, IN 46256-1400
(317) 842-6333
Mailing address
8202 CLEARVISTA PKWY, BUILDING 5 SUITE B, INDIANAPOLIS, IN 46256-1400
(317) 842-6333
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12007054A
IN
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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