Individual provider · Type 1 NPI

Sonny Ray Porter, DDS

Oral and Maxillofacial Surgery (Dentist) · Garden City, KS

NPI number 1669603759 Active

Practice location

311 N Campus Dr Ste 101
Garden City, KS 67846-6298

Fax (620) 271-0160

Mailing address

7528 E Peralta Ave
Mesa, AZ 85212-9724

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X62067 (KS)

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 1669603759

Sonny Ray Porter, DDS's National Provider Identifier is 1669603759, issued on Aug 6, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Garden City, KS. The record was last updated on Sep 24, 2024.