Individual provider · Type 1 NPI
Igor M. Port, DDS
General Practice Dentistry · Lic, NY
NPI number
1639429079
Active
Practice location
24-16 Queens Plaza South, Igor Port Dds
Lic, NY 11101
Fax (914) 242-8599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 038281 (NY) |
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.
About NPI 1639429079
Igor M. Port, DDS's National Provider Identifier is 1639429079, issued on Sep 13, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lic, NY. The record was last updated on Sep 13, 2012.