Individual
JONATHAN DAVID PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926
(253) 441-4743
(253) 442-8840
Mailing address
1019 PACIFIC AVE, STE. 300, TACOMA, WA 98402-4443
(253) 597-4550
(253) 597-4556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053634-1
NY
1223G0001X
General Practice Dentistry
Primary
DE60022547
WA
Other
Enumeration date
04/15/2008
Last updated
03/17/2026
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