DR. JEFFREY LEE PORTER (NPI# 1043488901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043488901 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LEE PORTER |
| Credential | D.D.S. |
| Practice Address |
201 Bridge Park Drive Charlevoix MI 49720-1381 |
| Mailing Address |
201 Bridge Park Drive Charlevoix MI 49720 |
| Practice Telephone | 2315479516 |
| Practice Fax Number | 2315479526 |
| Mailing Telephone | 2315479516 |
| Mailing Fax Number | 2315479526 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901009449 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780696658 | Jeffrey D Porter | Chiropractor | 919 N Dysart Rd, Avondale, AZ 85323-1711 | 2006-08-12 |
| 1477901023 | Jeffrey Porter | Registered Nurse | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2016-05-24 |
| 1801135165 | Jeffrey Torrelle Porter | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2013-02-06 |
| 1194022046 | Jeffrey S Porter | Nurse Practitioner | 5200 Centre Ave, Pittsburgh, PA 15232-1300 | 2011-02-11 |
| 1982747507 | Jeffrey Scott Porter | Optometrist | 1205 S Il Route 31, Crystal Lake, IL 60014-8213 | 2007-02-14 |
| 1033261813 | Jeffrey Lynn Porter | Specialist/Technologist | 755 Hank Aaron Dr Sw, Atlanta, GA 30315-1120 | 2007-01-18 |
| 1588633366 | Jeffrey F. Porter | Psychologist | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2006-03-15 |
| 1164496345 | Jeffrey Sam Porter | Emergency Medicine | 523 N 3rd St, Brainerd, MN 56401-3054 | 2006-02-15 |
| Street Address |
201 BRIDGE PARK DRIVE |
| City | CHARLEVOIX |
| State | MI |
| Zip Code | 49720-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326173659 | Porter & Associates Dds PC | Dentist | 201 Bridge Park Drive, Charlevoix, MI 49720 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1215587498 | Amanda Evans | Dietitian, Registered | 09210 North Pointe Woods Drive, Charlevoix, MI 49720 | 2019-09-18 |
| 1508229980 | Charlevoix Physicians Clinic | Specialist | 14709 W. Upright, Charlevoix, MI 49720 | 2016-04-01 |
| 1881014348 | Tracy Skinner | Social Worker | 220 W. Garfield Ave, Charlevoix, MI 49720 | 2014-04-23 |
| 1720414097 | Jennifer Jean Swenor | Occupational Therapist | 10270 Burnett Rd, Charlevoix, MI 49720 | 2013-09-18 |
| 1801171863 | Leslie Lukins | Pharmacist | 1500 Bridge Street, Charlevoix, MI 49720 | 2011-10-20 |
| 1164670949 | Northwest Michigan Community Health Agency | Hospice Care, Community Based | 220 W Garfield Street, Charlevoix, MI 49720 | 2008-09-04 |
| 1275722191 | Robert Dennis Cook | Pharmacist | 301 Bridge Street, Charlevoix, MI 49720 | 2007-10-16 |
| 1629191648 | Susan Mary Killam | Nurse Practitioner | Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 | 2007-04-06 |
| 1851410153 | Joelle M Beaudoin | Specialist/Technologist | 06510 M-66 N, Charlevoix, MI 49720 | 2007-03-28 |
| Find all providers in zip 49720 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326173659 | Porter & Associates Dds PC | Dentist | 201 Bridge Park Drive, Charlevoix, MI 49720 | 2007-02-23 |
| 1073680237 | Brian Raymond Kwapisz | Dentist | 303 Belvedere Ave, Charlevoix, MI 49720-1451 | 2006-11-30 |
| 1871672477 | Melissa Sue Makowski | Dentist | 109 W Hurlbut St, Charlevoix, MI 49720-1309 | 2006-11-03 |
| 1184890170 | Charles Tuley Watling | Dentist | 220 W Garfield Ave, Charlevoix, MI 49720-1631 | 2008-04-30 |
| 1639366271 | David George Murphy | Dentist | 220 W Garfield Ave, Charlevoix, MI 49720-1631 | 2007-09-27 |
| 1578698031 | Scott Russell Gilliland | Dentist | 220 W Garfield Ave, Charlevoix, MI 49720-1631 | 2007-02-23 |
| 1568517019 | Robert Keyes | Dentist | 220 W Garfield Ave, Charlevoix, MI 49720-1631 | 2007-01-24 |
| 1104971951 | Matthew William Pawlick | Dentist | 220 W Garfield Ave, Charlevoix, MI 49720-1631 | 2007-01-24 |
| 1871647685 | Jacqueline Jean Cresswell | Dentist | 220 W Garfield Ave, Charlevoix, MI 49720-1631 | 2007-01-22 |
| 1124172838 | Viviana Vagalau Pawlick | Dentist | 220 W Garfield Ave, Charlevoix, MI 49720-1631 | 2007-01-22 |
| Find all providers in CHARLEVOIX | ||||
| City | CHARLEVOIX |
| Zip Code | 49720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.