BLAKE PORTER, D.M.D.

Oral and Maxillofacial Surgery (Dentist) · LEHI, UT

Individual Active NPI 1417457524

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X7821520-9925UT
Oral and Maxillofacial Surgery (Dentist)1223S0112XD-5568-OSID
Student in an Organized Health Care Education/Training Program390200000XRES-30526IA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Other Oral and Maxillofacial Surgery (Dentist) providers in Utah

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.