Individual
DR. STEVEN MARK PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2900 BLUECUTT RD, SUITE 2, COLUMBUS, MS 39705-1470
(662) 328-1600
Mailing address
2900 BLUECUTT RD, SUITE 2, COLUMBUS, MS 39705-1470
(662) 328-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2700-92D
MS
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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