DR. Bradley Thain Porter, DDS is an oral and maxillofacial surgery dentist in Mesa, AZ. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Bradley Thain Porter, DDS NPI is 1023095734. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6755 E SUPERSTITION SPRINGS BLVD
SUITE 103
MESA, AZ
ZIP 85206-373
Phone: (480) 830-5866
Fax: (480) 807-0606
The NPI 1023095734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 12/23/2005 and was last updated on 12/4/2018.