Porter, Royce Anthony

Porter, Royce Anthony is an individual health care provider with primary practice located at 3031 Lyndhurst Ave , Winston-Salem NC 27103-4007. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Porter, Royce Anthony can be contacted via phone (336) 765-9154.

Contact Information

Primary practice address

3031 Lyndhurst Ave Winston-Salem NC 27103-4007

Phone: (336) 765-9154

Fax: (336) 765-9291

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	5945	North Carolina

Profile Details

NPI number	1174581367
LBN Legal business name	Porter, Royce Anthony
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 4th, 2006
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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Identifiers

State	Type	Number	Issuer
All States	NPI	1174581367	NPPES
North Carolina	MEDICAID	8997012
North Carolina	Other	97012

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