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

MS. ROSE MARY PORTER, CDA

Active Sole Proprietor

MS. ROSE MARY PORTER, CDA is a Dental Assistant healthcare provider located in HAMPTON, Virginia. NPI 1407090699 is currently active in the NPPES registry. Verify at CMS.

Dental Assistant · HAMPTON, VA

Registration Details

NPI Number
1407090699
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2009 (17.098740377141 yrs)
Last Updated
May 1, 2009
License
CE# 132766 (VA)
Sole Proprietor
Yes

Practice Information

Address
100 EMANCIPATION DR
HAMPTON, VA, 236670001
Browse VA providers · Browse ZIP 23667
Phone
7577229961
Fax
7577283138
Primary Specialty
Dental Assistant
126800000X
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.