Allen Stuckey Porter in Wake Forest - Pediatric Dentistry
Allen Stuckey Porter - NPI 1891848610
Allen Stuckey Porter is a Pediatric Dentistry in Wake Forest, North Carolina. Allen Stuckey Porter practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Allen Stuckey Porter is 1891848610. The last update date is 2008-06-03.
Allen Stuckey Porter's current location address is 2824 Rogers Rd, Wake Forest, North Carolina. You can contact this provider via phone number 9194357660 and fax number 9194536370. The mailing address for Allen Stuckey Porter is 2824 Rogers Rd, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allen Stuckey Porter |
|---|---|
| Address | 2824 Rogers Rd, Wake Forest, North Carolina |
| Phone Number | 9194357660 |
| Fax Number | 9194536370 |
| Sole Proprietor | N |
| Credentials | DMD,MS |
NPI Number Detail
| NPI Number | 1891848610 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 2824 Rogers Rd |
|---|---|
| City | Wake Forest |
| State | North Carolina (NC) |
| Post Code | 275873895 |
| Phone Number | 9194357660 |
| Fax Number | 9194536370 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3940 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZX3940 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Allen Stuckey Porter?
The Allen Stuckey Porter has been issued the NPI (National Provider Identifier) 1891848610 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Allen Stuckey Porter?
The Allen Stuckey Porter is situated at 2824 Rogers Rd, in the city of Wake Forest, state of NC, with the zip code 275873895.
What is Allen Stuckey Porter's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Allen Stuckey Porter is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
When did the Allen Stuckey Porter receive its 1891848610?
The Allen Stuckey Porter was issued its 1891848610 on 2007-01-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Allen Stuckey Porter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Allen Stuckey Porter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-03.