Organization
JAMES W. PORTER II, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W PORTER II DMD (OWNER)
(256) 879-9200
Entity
Organization
Contact information
Practice address
100 ANDREW ST STE A, ALBERTVILLE, AL 35950-1964
(256) 878-9200
(256) 878-9200
Mailing address
100 ANDREW ST STE A, ALBERTVILLE, AL 35950-1964
(256) 878-9200
(256) 878-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3886
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008406370
—
AL
Enumeration date
07/15/2008
Last updated
07/15/2008
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