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Deactivated NPI 1003122474 Deactivated / Inactive NPI Male Practitioner

Dr. Benjamin Lloyd Porter , DMD

Dentist • La Porte, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Benjamin Porter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2010
NPI Deactivation Date May 24, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Porter, DMD was a registered Dentist practicing in La Porte, IN. Throughout an active medical career spanning 13 years, Dr. Porter provided care at the practice location at 400 TEEGARDEN ST until profile deactivation on 2023-05-24.

Practice Location & Contact Primary Location

Practice Address

400 Teegarden St

La Porte, IN 463503175

Telephone 2193621943
Fax 2193268909
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in La Porte, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
9 Specialists

Practicing in La Porte, IN (1682 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12011510A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1053453365

Doctor of Medicine (M.D.)

Tara Nimtz

Nurse Practitioner

NPI 1104437631
Wendy Dutcher , RN

Nurse Practitioner

NPI 1194077644

Registered Nurse

Denise Grasser , LCSW

Social Worker - Clinical

NPI 1447808076

Licensed Clinical Social Worker

Susan Grace , NP

Nurse Practitioner - Family

NPI 1891838629

Nurse Practitioner

Dr. John Avila , DDS

Dentist - General Practice

NPI 1952423840

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 24, 2023

Record deactivated on May 24, 2023

NPI Profile Active August 24, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 24, 2010

Registered at 400 TEEGARDEN ST, LA PORTE, IN 463503175 (Tel: 2193621943)

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Updated Business Mailing Address August 24, 2010

Registered at 400 TEEGARDEN ST, LA PORTE, IN 463503175 (Tel: 2193261943)

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Provider Name / Credentials Updated August 24, 2010

Recorded as BENJAMIN PORTER, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2010

Dentist (License #12011510A in IN)

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Initial NPI Registration & Enumeration August 24, 2010

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: 1003122474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2010
Last Update: August 24, 2010
Deactivation Date: May 24, 2023

Mailing Address

400 Teegarden St

La Porte, IN 463503175

Phone: 2193261943

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.