Individual
DR. JOHN MICHAEL PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8202 CLEARVISTA PKWY, BUILDING 5 SUITE B, INDIANAPOLIS, IN 46256-1400
(317) 842-6333
Mailing address
8202 CLEARVISTA PKWY, BUILDING 5 SUITE B, INDIANAPOLIS, IN 46256-1400
(317) 842-6333
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12007054A
IN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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