Melissa Ann Porter in Carbondale - Dentist
Melissa Ann Porter - NPI 1003954819
Melissa Ann Porter is a Dentist in Carbondale, Illinois. Melissa Ann Porter practices all healthcare services and medical treatments related to Dentist. The NPI Number for Melissa Ann Porter is 1003954819. The last update date is 2007-07-08.
Melissa Ann Porter's current location address is 2905 W Alveria Dr, Carbondale, Illinois. You can contact this provider via phone number 6185497872 and fax number 6185497872. The mailing address for Melissa Ann Porter is 2905 W Alveria Dr, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Ann Porter |
|---|---|
| Address | 2905 W Alveria Dr, Carbondale, Illinois |
| Phone Number | 6185497872 |
| Fax Number | 6185497872 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1003954819 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2905 W Alveria Dr |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629015217 |
| Phone Number | 6185497872 |
| Fax Number | 6185497872 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 019-024825 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 019-024825 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Melissa Ann Porter by the Centers for Medicare & Medicaid Services?
The Melissa Ann Porter has been assigned the NPI (National Provider Identifier) 1003954819 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Melissa Ann Porter's physical address?
The Melissa Ann Porter is physically located at 2905 W Alveria Dr, in the city of Carbondale, IL, with the postal code 629015217.
What is Melissa Ann Porter's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Melissa Ann Porter is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Melissa Ann Porter's 1003954819 issued?
The Melissa Ann Porter's 1003954819 was issued on 2007-02-02.
As of what date were the details pertaining to Melissa Ann Porter last refreshed?
The information related to the Melissa Ann Porter, including its address, specialty, and other relevant details, was last updated on 2007-07-08.