Brent J. Porter, D.D.S., M.S., A P.D.C. in Aptos - Orthodontics And Dentofacial Orthopedics
Brent J. Porter, D.D.S., M.S., A P.D.C. - NPI 1053523647
Brent J. Porter, D.D.S., M.S., A P.D.C. is a Orthodontics And Dentofacial Orthopedics in Aptos, California. Brent J. Porter, D.D.S., M.S., A P.D.C. practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brent J. Porter, D.D.S., M.S., A P.D.C. is 1053523647. The last update date is 2020-08-22.
Brent J. Porter, D.D.S., M.S., A P.D.C.'s current location address is Po Box 580, Aptos, California. You can contact this provider via phone number 8314599802 and fax number 8314598234. The mailing address for Brent J. Porter, D.D.S., M.S., A P.D.C. is Po Box 580, Aptos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brent J. Porter, D.D.S., M.S., A P.D.C. |
|---|---|
| Address | Po Box 580, Aptos, California |
| Phone Number | 8314599802 |
| Fax Number | 8314598234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT- |
|---|---|
| Authorized Official Name | Porter Joseph Brent |
| Credentials | D.D.S., M. |
| Telephone Number | 8314599802 |
NPI Number Detail
| NPI Number | 1053523647 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 580 |
|---|---|
| City | Aptos |
| State | California (CA) |
| Post Code | 950010580 |
| Phone Number | 8314599802 |
| Fax Number | 8314598234 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 39322 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B39322 | CA | DENTICAL |
Post Comment/ Review Below
What is the Brent J. Porter, D.D.S., M.S., A P.D.C.'s unique identification number?
The Brent J. Porter, D.D.S., M.S., A P.D.C. has been assigned the NPI (National Provider Identifier) Number 1053523647 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Brent J. Porter, D.D.S., M.S., A P.D.C. is geographically located?
The Brent J. Porter, D.D.S., M.S., A P.D.C. is physically situated at the following location: Po Box 580, Aptos, CA, 950010580.
What is Brent J. Porter, D.D.S., M.S., A P.D.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brent J. Porter, D.D.S., M.S., A P.D.C.'s specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053523647 to Brent J. Porter, D.D.S., M.S., A P.D.C.?
The Centers for Medicare & Medicaid Services assigned the 1053523647 to Brent J. Porter, D.D.S., M.S., A P.D.C. on 2007-05-04.
When was the information related to Brent J. Porter, D.D.S., M.S., A P.D.C. most recently updated or refreshed?
The details pertaining to the Brent J. Porter, D.D.S., M.S., A P.D.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1972506228
Address: 2102 Treasure Hills Blvd Ste 3.14406, Harlingen, TX