Organization
PORTER DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONIA-MARIE D PORTER DDS (DENTIST/OWNER)
(615) 449-3222
Entity
Organization
Contact information
Practice address
1633 W MAIN ST # 200, LEBANON, TN 37087-3423
(615) 449-3222
(615) 449-3202
Mailing address
1633 W MAIN ST # 200, LEBANON, TN 37087-3423
(615) 449-3222
(615) 449-3202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8643
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530741
—
TN
Enumeration date
06/03/2010
Last updated
08/25/2014
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