| Dr Phillip Charles Portera, DMD | |
|
301 Fisher St, Keesler Afb, MS 39534-2508 | |
| (228) 376-0511 | |
| Not Available |
| Full Name | Dr Phillip Charles Portera |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 301 Fisher St, Keesler Afb, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437148483 | NPI | - | NPPES |
| 2630-91 | Other | MS | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2630-91 (Mississippi) | Secondary |
| 1223G0001X | Dentist - General Practice | 2630-91 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Charles Portera, DMD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: () - | Dr Phillip Charles Portera, DMD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-0511 |
Dr. David Max Jones, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-0512 | |
Dr. Jeffrey Loberg, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-0511 | |
Dr. James Patrick Nall, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-0610 | |
Dr. Cody Christensen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-5220 | |
Dr. Roger E Pradelli, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-0512 | |
Dr. Carroll Atkins Palmore Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 606 Fisher St, 81mdg/sgd, Keesler Afb, MS 39534 Phone: 228-377-2964 | |
Dr. Spencer Kennedy Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3060 |