Individual provider · Type 1 NPI

Shane Greggory Porter, DDS

General Practice Dentistry · San Antonio, TX

NPI number 1104556562 Active

About NPI 1104556562

Shane Greggory Porter, DDS's National Provider Identifier is 1104556562, issued on Jun 16, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Jun 16, 2022.