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Phillip Charles Portera (D.M.D.)

Dr. Phillip Charles Portera (D.M.D.) is a health care provider specializes in Dentist.

profile-icon Basic Information

Practice Location 301 Fisher St, Keesler Afb, MS 39534-2508, US
Practice Location Phone228-376-0511
Practice Location Fax
GenderMale
Specialty InDentist
NPI ?1437148483
Entity TypeIndividual
Enumeration Date ? Oct 20, 2005
Last Update Date ? Apr 30, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Phillip Charles Portera

SpecialtySpecializationLicenseLicense State
Dentist 2630-91Mississippi
DentistGeneral Practice 2630-91Mississippi

legacy-id-icon Legacy Provider IDs of Phillip Charles Portera

Provider IdIssuer StateIssuer TypeIssuer
2630-91MississippiOtherDENTAL