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:
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174581367 | NPPES |
| North Carolina | MEDICAID | 8997012 | |
| North Carolina | Other | 97012 |
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