| Dr Melissa Ann Porter, DMD | |
|
134 Mckinley St, East Peoria, IL 61611-2550 | |
| (309) 699-6770 | |
| Not Available |
| Full Name | Dr Melissa Ann Porter |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 134 Mckinley St, East Peoria, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003954819 | NPI | - | NPPES |
| 019-024825 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-024825 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa Ann Porter, DMD 2905 W Alveria Dr, Carbondale, IL 62901-5217 Ph: (618) 549-7872 | Dr Melissa Ann Porter, DMD 134 Mckinley St, East Peoria, IL 61611-2550 Ph: (309) 699-6770 |
Dr. David Ralph Trost, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 134 Mckinley St, East Peoria, IL 61611 Phone: 309-699-6770 Fax: 309-699-6771 | |
Dr. Michael Norman Gabor, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 133 Oakmoor Dr., East Peoria, IL 61611 Phone: 309-698-9201 | |
Dr. Seo Woo Choi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 502 Riverside Dr, East Peoria, IL 61611 Phone: 309-606-5008 | |
Dr. Morgan Marie Shanahan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 809 W Camp St, East Peoria, IL 61611 Phone: 309-694-0606 | |
Jonathan Phen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 502 Riverside Dr, East Peoria, IL 61611 Phone: 309-606-5008 | |
Taylor Pham, Dentist Medicare: Not Enrolled in Medicare Practice Location: 368 W Washington St, East Peoria, IL 61611 Phone: 309-694-4444 |