Dr. Phillip Charles Portera is a Keesler Afb, Mississippi based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Phillip Charles Portera is 2630-91 for General Practice Dentistry in Mississippi. His current practice location is 301 Fisher St, Keesler Afb. Patients can reach him at 228-376-0511.
Dr. Phillip Charles Portera is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Phillip Charles Portera speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
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 are as mentioned below.
NPI Number:
1437148483
NPI Enumeration Date:
20 Oct, 2005
NPI Last Update On:
30 Apr, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Phillip Charles Portera are as mentioned below.
License Number
Specialization
State
Status
2630-91
General Practice Dentistry
Mississippi
Primary
2630-91
Dentistry
Mississippi
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Phillip Charles Portera such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2630-91
Other
Mississippi
DENTAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
301 Fisher St, Keesler Afb, Mississippi
Zip:
39534-2508
Patients can reach Dr. Phillip Charles Portera at 301 Fisher St, Keesler Afb, Mississippi or can call to book an appointment on 228-376-0511. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.