Individual
DR. JESSE MARK PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2104 ARGILLITE RD, FLATWOODS, KY 41139-1620
(606) 836-7228
Mailing address
PO BOX 853, FLATWOODS, KY 41139-0853
(606) 836-7228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6446
KY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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