Phillip Charles Portera in Keesler Afb - General Practice
Phillip Charles Portera - NPI 1437148483
Phillip Charles Portera is a General Practice in Keesler Afb, Mississippi. Phillip Charles Portera practices all healthcare services and medical treatments related to General Practice. The NPI Number for Phillip Charles Portera is 1437148483. The last update date is 2018-04-30.
Phillip Charles Portera's current location address is 301 Fisher St, Keesler Afb, Mississippi. You can contact this provider via phone number 2283760511. The mailing address for Phillip Charles Portera is 301 Fisher St, Keesler Afb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Charles Portera |
|---|---|
| Address | 301 Fisher St, Keesler Afb, Mississippi |
| Phone Number | 2283760511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1437148483 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2018-04-30 |
Provider Mailing Address Detail
| Address | 301 Fisher St |
|---|---|
| City | Keesler Afb |
| State | Mississippi (MS) |
| Post Code | 395342508 |
| Phone Number | 2283760511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2630-91 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2630-91 | MS | DENTAL |
Post Comment/ Review Below
What is the unique identification code assigned to Phillip Charles Portera by the Centers for Medicare & Medicaid Services?
The Phillip Charles Portera has been issued the NPI (National Provider Identifier) 1437148483. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Phillip Charles Portera's facilities are geographically located?
The facilities of Phillip Charles Portera are physically situated at the following location: 301 Fisher St, Keesler Afb, MS, 395342508.
What is Phillip Charles Portera's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Phillip Charles Portera is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1437148483 to Phillip Charles Portera?
The Phillip Charles Portera received its 1437148483 assignment from the Centers for Medicare & Medicaid Services on 2005-10-20.
When was the information pertaining to Phillip Charles Portera most recently updated or revised?
The details related to Phillip Charles Portera, including its address, specialty, and other relevant information, were last updated or revised on 2018-04-30.