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General NPI Number Information
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NPI Number | 1437313079
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Entity Type | Individual
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Provider Name | MICAH L PORTER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 6340 PRESTON RD STE 200
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City | FRISCO
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State | TX
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Zip | 75034-6575
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Country | US
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Telephone | 469-633-9929
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Fax | 469-633-1909
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Provider Business Mailing Address
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Address Line | 6340 PRESTON RD STE 200
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City | FRISCO
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State | TX
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Zip | 75034-6575
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Country | US
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Telephone | 469-633-9929
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Fax | 469-633-1909
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 24351
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License Number State | TX
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