NPI 1003837972

John M. Porter DDS

Organisation Oral and Maxillofacial Surgery (Dentist) Indianapolis, IN

Practice location

Address: 8202 Clearvista Pkwy Building 5 Suite B, Indianapolis, IN 46256-1400
Phone: (317) 842-6333

Authorised official

Name: John Michael Porter
Title: President
Phone: (317) 842-6333

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 12007054A (IN)

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Registry record

NPI: 1003837972
Entity type: Organization
NPI issued: 23 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.