JACK CLARK PORTER DDS NPI 1467573626

NPI Information

  • NPI: 1467573626
  • Provider Name: JACK CLARK PORTER, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 1919 MALVERN AVE
    HOT SPRINGS, AR
    ZIP 71901
  • Phone: (501) 624-2778

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NPI Details

Jack Clark Porter, DDS is a general practice dentist in Hot Springs, AR. The provider is 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. Jack Clark Porter, DDS NPI is 1467573626. 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:

1919 MALVERN AVE
HOT SPRINGS, AR
ZIP 71901-753
Phone: (501) 624-2778
Fax: (501) 321-9774

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2133ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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