Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639429079 Individual Practitioner Male Practitioner

Dr. Igor M Port , DDS

Dentist - General Practice • Lic, NY

Professional Overview & Biography Verified Profile Summary

Dr. Igor Port, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lic, NY. Practice services are available at 24-16 QUEENS PLAZA SOUTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24-16 Queens Plaza South
Igor Port Dds

Lic, NY 11101

Telephone 7182052020
Fax 9142428599

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lic, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Lic, NY (8411 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 NY 038281

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 13, 2012

Registered at 24-16 QUEENS PLAZA SOUTH, IGOR PORT DDS, LIC, NY 11101 (Tel: 7182052020)

📍
Updated Business Mailing Address September 13, 2012

Registered at 24-16 QUEENS PLAZA SOUTH, IGOR PORT DDS, LIC, NY 11101 (Tel: 7182052020)

👤
Provider Name / Credentials Updated September 13, 2012

Recorded as IGOR PORT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2012

Dentist (License #038281 in NY)

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Initial NPI Registration & Enumeration September 13, 2012

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: 1639429079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2012
Last Update: September 13, 2012
Sole Proprietor: Yes

Mailing Address

24-16 Queens Plaza South, Igor Port Dds

Lic, NY 11101

Phone: 7182052020

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.