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

DR. IRIVELISSE STEVENS PORTER, DMD

Active

DR. IRIVELISSE STEVENS PORTER, DMD is a General Dentistry healthcare provider located in JACKSONVILLE, Florida. NPI 1407101033 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · JACKSONVILLE, FL

Registration Details

NPI Number
1407101033
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2012 (14.082474748129 yrs)
Last Updated
Jul 19, 2012
License
19714 (FL)

Practice Information

Address
12086 FORT CAROLINE RD
SUITE 105
JACKSONVILLE, FL, 322252687
Browse FL providers · Browse ZIP 32225
Phone
9048079127
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in JACKSONVILLE, FL

Name Credential NPI
DR. DAVID RICHARD OLINZOCK D.D.S. 1396748117
DR. JAMES ROBERT HULFELD D.D.S. 1346243300
DR. BRENT EDWARD NEUBAUER D.D.S. 1295736627
DR. JOSEPH BRIAN MICHAEL DMD 1811980667
DR. RICHARD CONWAY DDS 1811980550
DR. SHAY RAZMI 1235122862
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.