IndividualActive
Bradford Porter, DDS
NPI 1619965407 · Oral and Maxillofacial Surgery (Dentist) · Marlton, NJ
Provider details
- NPI number
- 1619965407
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DI14482 (NJ)
Specialties & taxonomies
Dental Providers
Practice location
94 Brick Rd
West Jersey Medical Plaza Suite 100
Marlton, NJ 08053-2179
Phone: (856) 596-9099
Fax: (856) 596-6715
Approximate (ZIP-level) locationGet directions
Mailing address
94 Brick Rd
Marlton, NJ 08053-2179
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.