Brent J. Porter, D.d.s., M.s., a P.d.c.
NPI #1053523647 in Santa Cruz, California
Provider Information
- NPI Number
- 1053523647
- Entity Type
- Organization
- Organization Name
- Brent J. Porter, D.d.s., M.s., a P.d.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 4, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 550 WATER ST
- Address 2
- SUITE D NUMBER 1
- City
- Santa Cruz
- State
- California
- ZIP Code
- 95060-4124
- Phone
- (831) 459-9802
Authorized Official
- Name
- DR. BRENT JOSEPH PORTER, D.D.S., M.S.
- Title
- PRESIDENT-DENTIST
- Phone
- (831) 459-9802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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