| Silas Porter, Llc | |
|
501 E Nizhoni Blvd Gallup NM 87301-5899 | |
| (505) 863-9363 | |
| Not Available |
| Full Name | Silas Porter, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 E Nizhoni Blvd, Gallup, New Mexico |
| Authorized Official Name and Position | Silas Matthew Porter (OWNER/DENTIST) |
| Authorized Official Contact | 5052591595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silas Porter, Llc 501 E Nizhoni Blvd Gallup NM 87301-5899 Ph: (505) 863-9363 | Silas Porter, Llc 501 E Nizhoni Blvd Gallup NM 87301-5899 Ph: (505) 863-9363 |
| NPI Number | 1629729868 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629729868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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