Ryan Joseph Porter, DDS Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1083763668
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 11632110-9921 (UT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-01-10
- Last updated
- 2022-11-10
Practice location
3330 N. University Ave. Ste A
Provo, UT 84604-4454
(801) 960-3643