SearchIllinoisGeneral Practice Dentistry

Mark Porter, DMD

NPI 1275669798 · on the registry since 2007 · sole proprietor

Practice

Address
212 E Market St
Troy, IL 62294
Phone
(618) 667-6101
Fax
(618) 667-8099
Organisation at this address
Market Street Family Dentist, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois