NPI
Bradley Thain Porter
NPI 1023095734
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2005-12-23
- Last updated
- 2018-12-04
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Specialties
Licenses
- License AZ
- 4124
Location
- Practice location
- 6755 E Superstition Springs Blvd, Suite 103
- City
- Mesa AZ
- Postal code
- 85206-4373
- Phone
- (480) 830-5866
- Fax
- (480) 807-0606
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Oral Surgeons in Mesa, AZ. 14 with this primary taxonomy in the public file.
Other NPIs in Mesa, AZ. 13,450 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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