Individual
DR. MICHAEL PAUL PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 GROVE PARK LN, COLUMBIA, SC 29210-3950
(803) 772-8610
Mailing address
332 BALLENTINE ESTATES RD, IRMO, SC 29063-8905
(803) 781-6049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1652
SC
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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