Brent J. Porter, D.d.s., M.s., A P.d.c. is a Dental Clinic in Santa Cruz, California. It is located at 550 Water St, Suite D Number 1, Santa Cruz, CA and its contact number is 831-459-9802. The authorized person for Brent J. Porter, D.d.s., M.s., A P.d.c. is Dr. Brent Joseph Porter
who is President-dentist of the clinic and their contact number is 831-459-9802. The primary license number for Brent J. Porter, D.d.s., M.s., A P.d.c. is 39322 (Orthodontics and Dentofacial Orthopedics) in California. Brent J. Porter, D.d.s., M.s., A P.d.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Brent J. Porter, D.d.s., M.s., A P.d.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Brent J. Porter, D.d.s., M.s., A P.d.c.
Specialization:
General Practice Dentistry
Clinic Address:
550 Water St, Suite D Number 1, Santa Cruz, California, 95060-4124
Phone:
831-459-9802
Fax:
831-459-8234
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Brent Joseph Porter
Position:
President-dentist
Contact Number:
831-459-9802
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brent J. Porter, D.d.s., M.s., A P.d.c. clinic are as mentioned below.
NPI Number:
1053523647
NPI Enumeration Date:
04 May, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brent J. Porter, D.d.s., M.s., A P.d.c. are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
39322
California
Primary
General Practice
39322
California
Secondary
Pediatric Dentistry
39322
California
Secondary
Orthodontics and Dentofacial Orthopedics
39322
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
B39322
Other
California
Dentical
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Brent J. Porter, D.d.s., M.s., A P.d.c. Po Box 580, Aptos, California
Zip:
95001-0580
Phone Number:
831-459-9802
Fax Number:
831-459-8234
Patients can reach Brent J. Porter, D.d.s., M.s., A P.d.c. at 550 Water St, Suite D Number 1, Santa Cruz, California or can call to book an appointment on 831-459-9802. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.