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Dr. Allen Stuckey Porter, DMD,MS
Pediatric Dentist in Wake Forest, North Carolina
NPI 1891848610

Allen Stuckey Porter is a Pediatric Dentist based in Wake Forest, NC and is specialized in Pediatric Dentistry. Allen Stuckey Porter practices in Wake Forest, NC and has the professional credentials of DMD,MS. The NPI Number for Allen Stuckey Porter is 1891848610 and holds a License No. 03940 (North Carolina).

The current practice location address for Allen Stuckey Porter is 2824 Rogers Rd, Wake Forest, NC and can be reached out via phone at 919-435-7660 and via fax at 919-453-6370.

Location: 2824 Rogers Rd, Wake Forest, NC, 27587-3895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891848610
Provider Name
Allen Stuckey Porter
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
2824 Rogers Rd, Wake Forest, NC, 27587-3895
Phone Number
919-435-7660
Fax Number
919-453-6370
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZX3940 05 SC
institution
Provider Business Practice Location Address Details
Address
2824 Rogers Rd
City
Wake Forest
State
North Carolina
Zip
27587-3895
Phone Number
919-435-7660
Fax Number
919-453-6370
person
Provider Business Mailing Address Details
Address
2824 Rogers Rd
City
Wake Forest
State
North Carolina
Zip
27587-3895
Phone Number
919-435-7660
Fax Number
919-453-6370
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
03940 (South Carolina)
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.
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