| Porter Dental | |
|
5700 Ritchie Hwy Brooklyn MD 21225-3641 | |
| (800) 920-9947 | |
| Not Available |
| Full Name | Porter Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5700 Ritchie Hwy, Brooklyn, Maryland |
| Authorized Official Name and Position | David M Vieth (PRESIDENT) |
| Authorized Official Contact | 7709165036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter Dental 1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 | Porter Dental 5700 Ritchie Hwy Brooklyn MD 21225-3641 Ph: (800) 920-9947 |
| NPI Number | 1083992754 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 04/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083992754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (NU) | Secondary |
Apex Family Dentistry Dental Clinic Medicare: Medicare Enrolled Practice Location: 5507 Ritchie Hwy Ste A, Brooklyn, MD 21225 Phone: 408-802-0656 |