Healthcare Provider Details

I. General information

NPI: 1144029398
Provider Name (Legal Business Name): SARAH MICHELLE PORGESS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 BAINBRIDGE AVE
BRONX NY
10467-2856
US

IV. Provider business mailing address

630 W 246TH ST APT 223
BRONX NY
10471-3632
US

V. Phone/Fax

Practice location:
  • Phone: 718-654-3456
  • Fax:
Mailing address:
  • Phone: 310-413-2761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI03156900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: