Individual provider · Type 1 NPI

Jason Porter

Orthodontics and Dentofacial Orthopedics Dentistry · Sunnyside, WA

NPI number 1003272444 Active

Practice location

1721 E Lincoln Ave
Sunnyside, WA 98944-2478

Fax (509) 837-3117

Other practice locations

  • 9209 W State St, Boise, ID 83714-1737 · (208) 388-1111
  • 3289 N Towerbridge Way, Meridian, ID 83646 · (208) 884-4466

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X0442000250 (VA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE60936198 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1003272444

Jason Porter's National Provider Identifier is 1003272444, issued on Jan 14, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sunnyside, WA. The record was last updated on May 22, 2019.