Organization
DRS PORTER & CARROLL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY MARTIN PORTER D.D.S. (PRESIDENT)
(215) 725-8901
Entity
Organization
Contact information
Practice address
7946 BUSTLETON AVE, PHILADELPHIA, PA 19152-3321
(215) 725-8901
(215) 725-8951
Mailing address
7946 BUSTLETON AVE, PHILADELPHIA, PA 19152-3321
(215) 725-8901
(215) 725-8951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
732043
U/C PROVIDER NUMBER
PA
Enumeration date
07/22/2006
Last updated
08/22/2020
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