| Jo Lynn Porter Dds | |
|
4601 Colleyville Blvd Ste 140 Colleyville TX 76034-3976 | |
| (817) 514-6004 | |
| (817) 514-6003 |
| Full Name | Jo Lynn Porter Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4601 Colleyville Blvd Ste 140, Colleyville, Texas |
| Authorized Official Name and Position | Jo Lynn Porter (OWNER) |
| Authorized Official Contact | 8175146004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Lynn Porter Dds 4601 Colleyville Blvd Ste 140 Colleyville TX 76034-3976 Ph: (817) 514-6004 | Jo Lynn Porter Dds 4601 Colleyville Blvd Ste 140 Colleyville TX 76034-3976 Ph: (817) 514-6004 |
| NPI Number | 1376042044 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376042044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18312 (Texas) | Primary |
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