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Brent J. Porter, D.d.s., M.s., A P.d.c.
Orthodontics and Dentofacial Orthopedic Dentist in Santa Cruz, California
NPI 1053523647

Brent J. Porter, D.d.s., M.s., A P.d.c. is a Orthodontics and Dentofacial Orthopedic Dentist based in Aptos, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Brent J. Porter, D.d.s., M.s., A P.d.c. practices in Santa Cruz, CA. The NPI Number for Brent J. Porter, D.d.s., M.s., A P.d.c. is 1053523647 and holds a License No. 39322 (California).

The current practice location address for Brent J. Porter, D.d.s., M.s., A P.d.c. is 550 Water St, Santa Cruz, CA and can be reached out via phone at 831-459-9802 and via fax at 831-459-8234.

Location: 550 Water St, Santa Cruz, CA, 95001-0580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053523647
Provider Name
Brent J. Porter, D.d.s., M.s., A P.d.c.
Credential
Provider Entity Type
Organization
Address
550 Water St, Santa Cruz, CA, 95001-0580
Phone Number
831-459-9802
Fax Number
831-459-8234
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B39322 01 CA DENTICAL
institution
Provider Business Practice Location Address Details
Address
550 Water St
City
Santa Cruz
State
California
Zip
95060-4124
Phone Number
831-459-9802
Fax Number
831-459-8234
person
Provider Business Mailing Address Details
Address
550 Water St
City
Santa Cruz
State
California
Zip
95060-4124
Phone Number
831-459-9802
Fax Number
831-459-8234
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
39322 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
39322 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
39322 (California)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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