Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710140686 Individual Practitioner Male Practitioner

Dr. Nathan Ray Porter , DDS

Dentist - General Practice • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Porter, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mesa, AZ. Practice services are available at 855 E BROWN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

855 E Brown Rd
Suite 4

Mesa, AZ 852034958

Telephone 4808346100
Associated Practice Facility / Clinic
🏢 Brent H. Mason, Dds, Pc Facility NPI 1508874496

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
228 Specialists

Practicing in Mesa, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 7582

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
350633 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1437369337

Doctor of Dental Surgery

Dr. Kelly Guld , MD

Internal Medicine - Interventional Cardiology

NPI 1568696003

Doctor of Medicine (M.D.)

NPI 1962612861

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2012

Registered at 855 E BROWN RD, SUITE 4, MESA, AZ 852034958 (Tel: 4808346100)

📍
Updated Business Mailing Address April 19, 2012

Registered at 855 E BROWN RD, SUITE 4, MESA, AZ 852034958 (Tel: 4808346100)

👤
Provider Name / Credentials Updated April 19, 2012

Recorded as NATHAN PORTER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2012

Dentist (License #7582 in AZ)

🟢
Initial NPI Registration & Enumeration July 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710140686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2008
Last Update: April 19, 2012
Sole Proprietor: Yes

Mailing Address

855 E Brown Rd, Suite 4

Mesa, AZ 852034958

Phone: 4808346100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.