| Tony Porter, Dds, Pa | |
|
3031 Lyndhurst Ave Winston-salem NC 27103-4007 | |
| (336) 765-9154 | |
| (336) 765-9291 |
| Full Name | Tony Porter, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3031 Lyndhurst Ave, Winston-salem, North Carolina |
| Authorized Official Name and Position | Royce Anthony Porter (DENTIST/PRESIDENT) |
| Authorized Official Contact | 3367659154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony Porter, Dds, Pa 3031 Lyndhurst Ave Winston-salem NC 27103-4007 Ph: (336) 765-9154 | Tony Porter, Dds, Pa 3031 Lyndhurst Ave Winston-salem NC 27103-4007 Ph: (336) 765-9154 |
| NPI Number | 1174580294 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174580294 | NPI | - | NPPES |
| 8997012 | Medicaid | NC | |
| 97012 | Other | NC | BC/BS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Joel A Black Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3314 Healy Dr, Suite 104, Winston-salem, NC 27103 Phone: 336-765-5421 Fax: 336-760-9952 | |
Leal And Spangler, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Southpark Blvd, Suite C, Winston-salem, NC 27104 Phone: 336-788-5073 Fax: 336-788-1699 | |
Thomas G. Handy, D.d.s., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 S. Hawthorne Rd., Winston-salem, NC 27103 Phone: 336-765-7870 Fax: 336-765-3830 | |
Drs. Bailey, Peoples, & Oghalai, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Westgate Center Dr, Winston-salem, NC 27103 Phone: 336-765-5374 Fax: 336-760-3066 | |
Londry, Modlin, Tucker Ii Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Coliseum Dr Nw, Winston-salem, NC 27106 Phone: 336-721-7921 Fax: 336-721-2011 | |
T. Gordon Handy Dds P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 S. Hawthorne Rd., Winston-salem, NC 27103 Phone: 336-765-7870 Fax: 336-765-3830 |