Individual provider · Type 1 NPI

Garth Thomas Porter, DDS

Oral and Maxillofacial Surgery (Dentist) · Fort Campbell, KY

NPI number 1659650828 Active

Practice location

2441 21st St, US Army Dental L Activity
Fort Campbell, KY 42223-5582

Call (270) 798-8751 Map

Fax (270) 956-0266

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X8046391-9921 (UT)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X8046391-9921 (UT)

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 1659650828

Garth Thomas Porter, DDS's National Provider Identifier is 1659650828, issued on Aug 5, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Campbell, KY. The record was last updated on Aug 24, 2016.