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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT J. PORTER, D.D.S., M.S., A P.D.C.

Active Organization

BRENT J. PORTER, D.D.S., M.S., A P.D.C. is a General Dentistry organization located in SANTA CRUZ, California. NPI 1053523647 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SANTA CRUZ, CA

Registration Details

NPI Number
1053523647
Provider Type
Organization
NPI Issued
May 4, 2007 (19.27331037748 yrs)
Last Updated
Sep 11, 2025
Licenses
39322 (CA)
39322 (CA)
39322 (CA)

Practice Information

Address
550 WATER ST
SUITE D NUMBER 1
SANTA CRUZ, CA, 950604124
Browse CA providers · Browse ZIP 95060
Phone
8314599802
Fax
8314598234
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Orthodontics
Additional Specialty
General Dentistry

Other General Dentistry Organizations in SANTA CRUZ, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.