Dr. Bradford J. Porter
Dentist (Oral and Maxillofacial Surgery)

Address: 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179
Phone: 8565969099

Dr. Bradford J. Porter (NPI# 1619965407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1619965407
Entity Type Individual
Full Name Dr. Bradford J. Porter
Credential DDS
Gender Male
Practice Address 94 Brick Rd
West Jersey Medical Plaza Suite 100
Marlton
NJ 08053-2179
Practice Telephone 8565969099
Practice Fax Number 8565966715
Mailing Address 94 Brick Rd
West Jersey Medical Plaza Suite 100
Marlton
NJ 08053-2179
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-10-06
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223S0112X Dentist · Oral and Maxillofacial Surgery Dental Providers DI14482 NJ

Other Provider Identifier

State Identifier Issuer Type Code
NJ 1126903 MEDICAID

Physician Overview

NPI 1619965407
PAC ID by PECOS 1153365473
Professional Enrollment ID I20050616000751
Full Name Bradford J Porter
Organization Legal Name PORTER, MARTIN, SALMAN, P.A.
Phone Number 8564299097
Gender M
Credential DDS
Medical School OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduation Year 1983
Primary Specialty ORAL SURGERY
Group Practice PAC ID 0042256174
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Office Location

Street Address 94 BRICK RD
WEST JERSEY MEDICAL PLAZA SUITE 100
City MARLTON
State NJ
Zip Code 08053-2179

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366430159 Gene J Martin Dentist 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179 2005-10-06
1013183169 Sleepcare Center, Inc. Specialist 94 Brick Rd, Ste: 103, Marlton, NJ 08053-2179 2008-05-07
1124150099 Integrated Family Medicine Family Medicine 94 Brick Rd, Suite 105, Marlton, NJ 08053-2179 2007-03-09
1144312703 Integrated Family Medicine, LLC Family Medicine 94 Brick Rd, Suite 105, Marlton, NJ 08053-2179 2006-09-29
1689628604 Porter, Martin, Salman, P.a. Dentist 94 Brick Rd, West Jersey Medical Plaza Ste. 100, Marlton, NJ 08053-2179 2006-05-22
1720068851 Robert Davis Family Medicine 94 Brick Rd, Suite 105, Marlton, NJ 08053-2179 2006-01-17
1326036120 Kenneth M Goldberg Dentist 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179 2005-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265099741 Jessica Strassle Occupational Therapist 751 Nj-73, Suite 1, Marlton, NJ 08053 2019-05-21
1972169902 Jefferson University Radiology Associates, LLC Radiology 999 Nj-73, # 101, Marlton, NJ 08053 2019-05-15
1235692120 Liberty Corner Surgical Center At Marlton LLC Clinic/Center 95 Marlton Pike West, Marlton, NJ 08053 2019-04-09
1578022687 Sharon Ruth Everett Nurse Practitioner 601 Route 73 N Ste 101, Marlton, NJ 08053 2019-03-18
1063995769 Genesis Counseling Center, Inc. Counselor 2003 C Lincoln Dr. W., Marlton, NJ 08053 2018-09-10
1659853414 Erika V Colbert Nurse Practitioner 1 Eves Drive 134, 134, Marlton, NJ 08053 2018-08-29
1013497353 Genesis Counseling Center, Inc Counselor 2003c Lincoln Drive West, Marlton, NJ 08053 2018-08-16
1407333131 Kathleen M Dean Lcsw Social Worker 651 Route 73 N Ste 407, Marlton, NJ 08053 2018-07-25
1780160358 Susan Kimberly Childers Counselor 48 S. Maple Avenue, 2nd Floor, Marlton, NJ 08053 2018-07-17
1134610967 Optimum Personal Care Physicians LLC Family Medicine 538 Lippincott Dr Bldg E, Marlton, NJ 08053 2018-05-29
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730602939 Sj Specialty Group LLC Dentist 151 Greentree Rd Ste Aa, Marlton, NJ 08053-9416 2017-07-19
1952406050 Cyndi T Nguyen Dentist 1000 Lincoln Dr E Ste 3a, Marlton, NJ 08053-1566 2006-09-13
1215940150 Melvyn A Blake Dds PC Dentist 600 State Hwy 73 North, Suite 9a, Marlton, NJ 08053 2006-08-14
1710921614 Melvin Arnold Blake Dentist 600 Rt 73 N, Suite 9a, Marlton, NJ 08053 2006-06-15
1366430159 Gene J Martin Dentist 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179 2005-10-06
1689628604 Porter, Martin, Salman, P.a. Dentist 94 Brick Rd, West Jersey Medical Plaza Ste. 100, Marlton, NJ 08053-2179 2006-05-22
1326036120 Kenneth M Goldberg Dentist 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179 2005-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508424284 Posh Dental LLC Dentist 39 Tallman Pl Ste 2, Englewood, NJ 07631-2702 2019-05-29
1124598230 Jc Oral Health Care Pa Dentist 103 Greene St Fl 2, Jersey City, NJ 07302-3868 2018-12-01
1801370366 Palisades Park Dental P.C. Dentist 225 Broad Ave # 102, Palisades Park, NJ 07650-1588 2018-09-20
1881174969 Bethel Oral Surgery & Implants, PC Dentist 1319 Anderson Ave Ste D, Fort Lee, NJ 07024-1734 2018-08-17
1790271641 Morristown Oral Surgery & Implantology Associates LLC Dentist 290 Madison Ave Ste 1, Morristown, NJ 07960-7401 2018-07-03
1255826939 Riverside Oral Surgery - Livingston Dentist 209 S Livingston Ave Ste 2, Livingston, NJ 07039-4042 2018-06-26
1043724222 Robbinsville Oral and Maxillofacial Surgery LLC Dentist 2291 Route 33 Ste 1005, Hamilton, NJ 08690-1717 2017-11-27
1295249456 Pa Dental LLC Dentist 17 Main St Ste 301, Robbinsville, NJ 08691-1401 2017-11-27
1801309539 Gerard Begley D.m.d. Pa Dentist 385 Route 24 Ste 3b, Chester, NJ 07930-2910 2017-11-16
1962912832 Riverside Oral Surgery- Englewood LLC Dentist 300 Grand Ave Ste 102, Englewood, NJ 07631-6300 2017-10-05
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Competitor

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City MARLTON
Zip Code 08053

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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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