Individual
THOMAS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
MCRD PARRIS ISLAND DENTAL, BLDG 674 BLVD DE FRANCE, PARRIS ISLAND, SC 29905
(435) 224-9059
Mailing address
MCRD PARRIS ISLAND DENTAL, BLDG 674 BLVD DE FRANCE, PARRIS ISLAND, SC 29905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11153
SC
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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