Port, Ira S
Port, Ira S is an individual health care provider with primary practice located at 2341 Highway 66 , Ocean NJ 07712-3961. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Port, Ira S can be contacted via phone (732) 922-2255.Contact Information
Primary practice address
2341 Highway 66
Ocean NJ 07712-3961
Phone: (732) 922-2255
Fax: (732) 922-2969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11460 | New Jersey |
| Dental Providers / Periodontics | 1223P0300X | 11460 | New Jersey |
Profile Details
| NPI number | 1831327907 |
|---|---|
| LBN Legal business name | Port, Ira S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2009 |
| Last updated | Jun 29th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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