Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRA S PORT, DMD
ActiveIRA S PORT, DMD is a Periodontology healthcare provider located in OCEAN, New Jersey. NPI 1831327907 is currently active in the NPPES registry. Verify at CMS.
Periodontology · OCEAN, NJ
Registration Details
- NPI Number
- 1831327907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2009 (17.172677872366 yrs)
- Last Updated
- Jun 29, 2009
- Licenses
-
11460 (NJ)11460 (NJ)
Practice Information
- Address
-
2341 HIGHWAY 66OCEAN, NJ, 077123961Browse NJ providers · Browse ZIP 07712
- Phone
- 7329222255
- Fax
- 7329222969
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in OCEAN, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW RICHARD SAMUEL | D.M.D. | 1174605034 |
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.