Jason E. Portnof Dmd, Md, PA
NPI #1699190280 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1699190280
- Entity Type
- Organization
- Organization Name
- Jason E. Portnof Dmd, Md, PA
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Feb 19, 2014
- Last Updated
- Jan 25, 2017
Practice Location
- Address
- 100 SE 15TH AVE
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33301-3985
- Phone
- (954) 983-1899
Authorized Official
- Name
- DR. JASON E PORTNOF, DMD, MD
- Title
- OWNER
- Phone
- (954) 983-1899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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