MARK DOUGLAS PORTA SR.


Address: 9533 Fenway Ave, Baton Rouge, LA 70809-1411
Phone: 2259250951

MARK DOUGLAS PORTA SR. (NPI# 1982724431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982724431
Entity Type Individual
Full Name MARK DOUGLAS PORTA SR.
Credential D.D.S.
Practice Address 9533 Fenway Ave
Baton Rouge
LA 70809-1411
Practice Telephone 2259250951
Mailing Telephone 2259250951
Enumeration Date 2007-03-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
3728 LA Dental Providers

Other Providers MARK PORTA

NPI Name Taxonomy Address Enumeration
1275890436 Mark Douglas Porta Jr. Internal Medicine 1501 Kings Hwy, Lsuhsc Dept. of Gastroenterology, Shreveport, LA 71130 2012-04-12

Office Location

Street Address 9533 FENWAY AVE
City BATON ROUGE
State LA
Zip Code 70809-1411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730101601 Michael Scott Porta Dentist 9533 Fenway Ave, Baton Rouge, LA 70809-1411 2006-07-23

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1679061618 Sara Elizabeth Nicole Altaean Massage Therapist Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-04-25
1871098921 Gary Bernard Jr. Massage Therapist 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-03-29
1619476355 De'andria Banks Behavior Technician 9150 Bareford Drive, Baton Rouge, LA 70809 2018-02-08
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

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1508465899 Exceptional Dental of Highland, LLC Dentist 7278 Highland Rd Ste C, Baton Rouge, LA 70808-6604 2020-10-19
1033733746 Michael P Juban Dds and J Cody Cowen North Apdllc Dentist 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 2020-05-29
1659992865 Justin K Bonaventure Dental Offices, LLC Dentist 13702 Coursey Blvd, Bldg 10, Ste C, Baton Rouge, LA 70817-1370 2020-04-28
1639646995 Michael P Juban Dds and J Cody Cowen North Apdllc Dentist 554 Colonial Dr Ste B, Baton Rouge, LA 70806-6552 2018-10-25
1174009633 Affordable Smiles of Baton Rouge, LLC Dentist 1962 Oneal Ln Ste A&b, Baton Rouge, LA 70816-3250 2018-07-17
1154814838 Hollis Anne Clark Dentist 15420 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2933 2018-06-07
1033600804 Kaitlyn Renee Hawkins Dentist 6860 Bluebonnet Blvd, Baton Rouge, LA 70810-1615 2018-05-28
1083136790 Greesim Loy Dentist 13730 Millerville Greens Blvd Ste 1, Baton Rouge, LA 70816-1696 2017-07-13
1346760824 Michael P Juban Dds and J Cody Cowen North LLC Dentist 3557 Monterrey Dr, Baton Rouge, LA 70814-2918 2017-06-26
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Competitor

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City BATON ROUGE
Zip Code 70809

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Dataset Information

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.

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