Search › Utah › 207P00000X
Jacob Porter, D.O
NPI 1588198063 · on the registry since 2017 · sole proprietor
Practice
- Address
- 333 N 300 W
Salt Lake City, UT 84103 - Phone
- (014) 637-4158
- Organisation at this address
- Amigos Dental Care- Marmalade District, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-18
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 Utah