Individual
SEAN PORATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
122 LEE BLVD, SHELBYVILLE, IN 46176-3403
(317) 398-6399
Mailing address
670 1ST AVE NW, CARMEL, IN 46032-1330
(989) 395-1560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014846A
IN
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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