Individual
JACK CLARK PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1919 MALVERN AVE, HOT SPRINGS, AR 71901-7753
(501) 624-2778
(501) 321-9774
Mailing address
1919 MALVERN AVE, HOT SPRINGS, AR 71901-7753
(501) 624-2778
(501) 321-9774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2133
AR
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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