Porter, Jefferson George

Porter, Jefferson George is an sole proprietor health care provider with primary practice located at 329 Maynard St , Williamsport PA 17701-5822. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Porter, Jefferson George can be contacted via phone (570) 322-5411.

Contact Information

Primary practice address
329 Maynard St Williamsport PA 17701-5822
Fax: (570) 327-7677
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS021001L Pennsylvania

Profile Details

NPI number 1528149960
LBN Legal business name Porter, Jefferson George
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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