DR. JEFFERSON GEORGE PORTER (NPI# 1528149960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528149960 |
| Entity Type | Individual |
| Full Name | DR. JEFFERSON GEORGE PORTER |
| Credential | DDS |
| Practice Address |
329 Maynard St Williamsport PA 17701-5822 |
| Practice Telephone | 5703225411 |
| Practice Fax Number | 5703277677 |
| Mailing Telephone | 5703225411 |
| Mailing Fax Number | 5703277677 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS021001L | PA | Dental Providers |
| Street Address |
329 MAYNARD ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710246277 | Tiffany Thorpe | Dentist | 1750 E 3rd St, Williamsport, PA 17701-3872 | 2012-05-03 |
| 1770746182 | David Neil Raemore | Dentist | 1033 Washington Blvd, Williamsport, PA 17701 | 2008-07-07 |
| 1619180239 | Colin R. Branton | Dentist | 2687 Euclid Ave, Williamsport, PA 17702-6754 | 2007-05-08 |
| 1154448017 | John W Nelms | Dentist | 1140 Washington Blvd, Williamsport, PA 17701-5448 | 2007-03-24 |
| 1508907809 | Robert Herbert Fredrickson | Dentist | 1124 Market St, Williamsport, PA 17701 | 2007-02-09 |
| 1346319936 | Stephen Alexander Eck | Dentist | 1303 East Third Street, Williamsport, PA 17701 | 2006-11-07 |
| 1134202922 | Jon Brent Inman | Dentist | 116 E 2nd St, Williamsport, IN 47993-1149 | 2006-10-23 |
| 1003904053 | Terrence Bartholomew Dean | Dentist | 1201 Sheridan St, Williamsport, PA 17701-3749 | 2006-10-11 |
| 1336237445 | Shawn Ryan Branton | Dentist | 301 Washington Blvd, Williamsport, PA 17701-5129 | 2006-10-11 |
| 1881789683 | Richard Douglas Troxler | Dentist | 1195 Sheridan St, Williamsport, PA 17701-3738 | 2006-10-04 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on DR. JEFFERSON GEORGE PORTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.