Porter, Brad W

Porter, Brad W is an sole proprietor health care provider with primary practice located at 1097 Douglas Ave , Altamonte Springs FL 32714-5211. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Porter, Brad W can be contacted via phone (407) 834-4500.

Contact Information

Primary practice address
1097 Douglas Ave Altamonte Springs FL 32714-5211
Fax: (407) 862-6544
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN4389 Florida

Profile Details

NPI number 1770608044
LBN Legal business name Porter, Brad W
Credentials DDS,MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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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