Individual provider · Type 1 NPI

Irivelisse Stevens Porter, DMD

General Practice Dentistry · Jacksonville, FL

NPI number 1407101033 Active

Practice location

12086 Fort Caroline Rd, Suite 105
Jacksonville, FL 32225-2687

Call (904) 807-9127 Map

Mailing address

5077 Creek Crossing Dr
Jacksonville, FL 32226-4779

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19714 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1407101033

Irivelisse Stevens Porter, DMD's National Provider Identifier is 1407101033, issued on Jul 19, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 19, 2012.