Individual provider · Type 1 NPI

Kevin E. Porter, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Odessa, TX

NPI number 1225181746 Active

Practice location

8101 Dorado Dr
Odessa, TX 79765-8533

Fax (432) 333-9346

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X16990 (TX)

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.

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About NPI 1225181746

Kevin E. Porter, DDS, MD's National Provider Identifier is 1225181746, issued on Jan 19, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Odessa, TX. The record was last updated on Dec 6, 2012.