Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAKE CARDON PORTER, D.M.D.
ActiveMR. BLAKE CARDON PORTER, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in LEHI, Utah. NPI 1417457524 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LEHI, UT
Registration Details
- NPI Number
- 1417457524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2018 (8.4557917421961 yrs)
- Last Updated
- Dec 8, 2023
- Licenses
-
D-5568-OS (ID)RES-30526 (IA)7821520-9925 (UT)
Practice Information
- Address
-
3377 W LAZY J LNLEHI, UT, 840436337Browse UT providers · Browse ZIP 84043
- Phone
- 4802734544
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in LEHI, UT
| Name | Credential | NPI |
|---|---|---|
| ADAM RHEES BATEMAN | D.D.S., M.D. | 1003826751 |
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.