Porter, Blake Cardon

Porter, Blake Cardon is an individual health care provider with primary practice located at 3377 W Lazy J Ln , Lehi UT 84043-6337. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Porter, Blake Cardon can be contacted via phone (480) 273-4544.

Contact Information

Primary practice address
3377 W Lazy J Ln Lehi UT 84043-6337
Phone: (480) 273-4544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D-5568-OS Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RES-30526 Iowa
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7821520-9925 Utah

Profile Details

NPI number 1417457524
LBN Legal business name Porter, Blake Cardon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2018
Last updated Dec 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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