| Jeffrey L Porter Dds | |
|
201 Bridge Park Drive Charlevoix MI 49720 | |
| (231) 547-9516 | |
| Not Available |
| Full Name | Jeffrey L Porter Dds |
|---|---|
| Speciality | Dentist |
| Location | 201 Bridge Park Drive, Charlevoix, Michigan |
| Authorized Official Name and Position | Jeffrey L Porter (PRESIDENT) |
| Authorized Official Contact | 2315479516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Porter Dds 201 Bridge Park Drive Charlevoix MI 49720 Ph: (231) 547-9516 | Jeffrey L Porter Dds 201 Bridge Park Drive Charlevoix MI 49720 Ph: (231) 547-9516 |
| NPI Number | 1326173659 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326173659 | NPI | - | NPPES |
| 5315008824 | Other | MI | ST BOARD OF PHARMACY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901009449 (Michigan) | Primary |
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