| Drs Porter & Carroll Pc | |
|
7946 Bustleton Ave Philadelphia PA 19152-3321 | |
| (215) 725-8901 | |
| (215) 725-8951 |
| Full Name | Drs Porter & Carroll Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7946 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Stanley Martin Porter (PRESIDENT) |
| Authorized Official Contact | 2157258901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Porter & Carroll Pc 7946 Bustleton Ave Philadelphia PA 19152-3321 Ph: (215) 725-8901 | Drs Porter & Carroll Pc 7946 Bustleton Ave Philadelphia PA 19152-3321 Ph: (215) 725-8901 |
| NPI Number | 1154342152 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154342152 | NPI | - | NPPES |
| 732043 | Other | PA | U/C PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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