Individual provider · Type 1 NPI

Bradley Thain Porter, DDS

Oral and Maxillofacial Surgery (Dentist) · Mesa, AZ

NPI number 1023095734 Active

Practice location

6755 E Superstition Springs Blvd, Suite 103
Mesa, AZ 85206-4373

Call (480) 830-5866 Map

Fax (480) 807-0606

Other practice locations

  • 18610 E Rittenhouse Rd Ste 105, Queen Creek, AZ 85142-4504 · (480) 830-5866

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X4124 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

13 other providers at this address

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About NPI 1023095734

Bradley Thain Porter, DDS's National Provider Identifier is 1023095734, issued on Dec 23, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mesa, AZ. The record was last updated on Dec 4, 2018.