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Dr. Irivelisse Stevens Porter, DMD
General Practice Dentistry in Jacksonville, Florida
NPI 1407101033

Irivelisse Stevens Porter is a General Practice Dentistry based in Jacksonville, FL and is specialized in General Practice. Irivelisse Stevens Porter practices in Jacksonville, FL and has the professional credentials of DMD. The NPI Number for Irivelisse Stevens Porter is 1407101033 and holds a License No. 19714 (Florida).

The current practice location address for Irivelisse Stevens Porter is 12086 Fort Caroline Rd, Jacksonville, FL and can be reached out via phone at 904-807-9127.

Location: 12086 Fort Caroline Rd, Jacksonville, FL, 32226-4779
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Provider Profile Details
NPI Number
1407101033
Provider Name
Irivelisse Stevens Porter
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
12086 Fort Caroline Rd, Jacksonville, FL, 32226-4779
Phone Number
904-807-9127
Fax Number
Provider Enumeration Date
07/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12086 Fort Caroline Rd
City
State
Zip
32225-2687
Phone Number
904-807-9127
Fax Number
person
Provider Business Mailing Address Details
Address
12086 Fort Caroline Rd
City
State
Zip
32225-2687
Phone Number
904-807-9127
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
19714 (Florida)
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.
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