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Dr. Bradford J. Porter, DDS
Oral and Maxillofacial Surgery (Dentist) in Marlton, New Jersey
NPI 1619965407

Bradford J. Porter is a Oral and Maxillofacial Surgery (Dentist) based in Marlton, NJ and is specialized in Oral and Maxillofacial Surgery. Bradford J. Porter practices in Marlton, NJ and has the professional credentials of DDS. The NPI Number for Bradford J. Porter is 1619965407 and holds a License No. DI14482 (New Jersey).

The current practice location address for Bradford J. Porter is 94 Brick Rd, Marlton, NJ and can be reached out via phone at 856-596-9099 and via fax at 856-596-6715. You can also correspond with Bradford J. Porter through the mailing address at 94 BRICK RD, MARLTON, NJ - 08053-2179 (mailing address contact number: 856-596-9099).

Location: 94 Brick Rd, Marlton, NJ, 08053-2179
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619965407
Provider Name
Bradford J. Porter
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
94 Brick Rd, Marlton, NJ, 08053-2179
Phone Number
856-596-9099
Fax Number
856-596-6715
Provider Enumeration Date
10/06/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1126903 05 NJ
institution
Provider Business Practice Location Address Details
Address
94 Brick Rd
City
Marlton
State
New Jersey
Zip
08053-2179
Phone Number
856-596-9099
Fax Number
856-596-6715
person
Provider Business Mailing Address Details
Address
94 Brick Rd
City
Marlton
State
New Jersey
Zip
08053-2179
Phone Number
856-596-9099
Fax Number
856-596-6715
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DI14482 (New Jersey)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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