Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY THAIN PORTER, DDS
ActiveDR. BRADLEY THAIN PORTER, DDS is a Oral & Maxillofacial Surgery healthcare provider located in MESA, Arizona. NPI 1023095734 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MESA, AZ
Registration Details
- NPI Number
- 1023095734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2005 (20.601865762472 yrs)
- Last Updated
- Dec 4, 2018
- License
-
4124 (AZ)
Practice Information
- Address
-
6755 E SUPERSTITION SPRINGS BLVDSUITE 103MESA, AZ, 852064373Browse AZ providers · Browse ZIP 85206
- Phone
- 4808305866
- Fax
- 4808070606
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. BRENT RUSSELL BOYSE | DDS | 1609853365 |
| DR. ROBERT BRINKS AUSTIN | DDS, MD | 1891772505 |
| DR. MICHAEL DOTSON ELLIOTT | D.M.D. | 1760469787 |
| DR. MAUREEN PERRY | D.D.S., MPA, MAED | 1992985295 |
| DR. GREGORY ROMNEY | DMD | 1972823029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.