Melissa Ann Porter D.M.D.

NPI 1003954819 - Dentist - 122300000X

NPI Details
NPI 1003954819
Gender Female
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
134 MCKINLEY ST
EAST PEORIA IL, 61611-2550, US
Phone (309) 699-6770
Fax
Business Location
2905 W ALVERIA DR
CARBONDALE IL, 62901-5217, US
Phone (618) 549-7872
Fax (618) 549-7872
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Melissa Ann Porter D.M.D. NPI is 1003954819, taxonomy code is 122300000X Melissa Ann Porter D.M.D. physically located at 134 Mckinley St, East Peoria IL, 61611-2550. NPI Number Melissa Ann Porter D.M.D. has the Individual type.

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1003954819 NPI number is provided on an as is basis without warranty of any kind. 1003954819 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa Ann Porter D.M.D. are for informational purposes only.