IndividualActive
Garth Porter, DDS
NPI 1659650828 · Oral and Maxillofacial Surgery (Dentist) · Fort Campbell, KY
Provider details
- NPI number
- 1659650828
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8046391-9921 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2441 21st St
US Army Dental L Activity
Fort Campbell, KY 42223-5582
Phone: (270) 798-8751
Fax: (270) 956-0266
Approximate (ZIP-level) locationGet directions
Mailing address
2441 21st St
Fort Campbell, KY 42223-5582
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2016-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.