Provider Demographics
NPI:1437313079
Name:PORTER, MICAH L (DDS)
Entity type:Individual
Prefix:DR
First Name:MICAH
Middle Name:L
Last Name:PORTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6340 PRESTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6575
Mailing Address - Country:US
Mailing Address - Phone:469-633-9929
Mailing Address - Fax:469-633-1909
Practice Address - Street 1:6340 PRESTON RD STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6575
Practice Address - Country:US
Practice Address - Phone:469-633-9929
Practice Address - Fax:469-633-1909
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX243511223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty