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Dr. Phillip Charles Portera, DMD
General Practice Dentistry in Keesler Afb, Mississippi
NPI 1437148483

Phillip Charles Portera is a General Practice Dentistry based in Keesler Afb, MS and is specialized in General Practice. Phillip Charles Portera practices in Keesler Afb, MS and has the professional credentials of DMD. The NPI Number for Phillip Charles Portera is 1437148483 and holds a License No. 2630-91 (Mississippi).

The current practice location address for Phillip Charles Portera is 301 Fisher St, Keesler Afb, MS and can be reached out via phone at 228-376-0511.

Location: 301 Fisher St, Keesler Afb, MS, 39534-2508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437148483
Provider Name
Phillip Charles Portera
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
301 Fisher St, Keesler Afb, MS, 39534-2508
Phone Number
228-376-0511
Fax Number
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2630-91 01 MS DENTAL
institution
Provider Business Practice Location Address Details
Address
301 Fisher St
City
Keesler Afb
State
Mississippi
Zip
39534-2508
Phone Number
228-376-0511
Fax Number
person
Provider Business Mailing Address Details
Address
301 Fisher St
City
Keesler Afb
State
Mississippi
Zip
39534-2508
Phone Number
228-376-0511
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
2630-91 (Mississippi)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2630-91 (Mississippi)
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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