Individual
DR. THOMAS ALAN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8517 PRESTON HWY, LOUISVILLE, KY 40219-5301
(270) 519-4340
Mailing address
1008 FENLEY AVE, LOUISVILLE, KY 40222-6724
(270) 519-4340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10630
KY
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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