Individual
DR. STEPHEN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, MS
Contact information
Practice address
1897 PALM BEACH LAKES BLVD STE 215, WEST PALM BEACH, FL 33409-3508
(561) 255-8377
Mailing address
7781 WOODSMUIR DR, PALM BEACH GARDENS, FL 33412-1612
(561) 691-1529
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN14647
FL
1223P0700X
Prosthodontics
DN14647
FL
Other
Enumeration date
01/11/2022
Last updated
01/10/2024
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