IGOR M PORT DDS
NPI 1639429079
Dentist - General Practice in Lic, NY

Active since September 13, 2012
24-16 QUEENS PLAZA SOUTH, IGOR PORT DDS, LIC, NY 11101(718) 205-2020(914) 242-8599 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Igor M Port Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IGOR M PORT DDS (NPI 1639429079) is an individual general practice provider in Lic, New York, licensed in New York (038281) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1639429079
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameIGOR M PORTCredential: DDS
Location Address24-16 QUEENS PLAZA SOUTH, IGOR PORT DDSLic, NY 11101
Mailing Address24-16 Queens Plaza South, Igor Port DdsLic, NY 11101 · (718) 205-2020 · Fax (914) 242-8599
Fax(914) 242-8599
Sole ProprietorYes
Enumeration DateSeptember 13, 2012
NPI 1639429079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 038281
Definition
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.
24-16 QUEENS PLAZA SOUTH, Lic, NY 11101

Other Names 1

Former Name (1)Mr. Igor M Port Dds

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Igor Port's NPI number?

The NPI number for Igor Port is 1639429079. It was assigned to this individual provider in the NPPES registry on September 13, 2012. The provider is also known as Mr. Igor M Port Dds.

Where is Igor Port located?

Igor Port practices at 24-16 Queens Plaza South Igor Port Dds, Lic, NY 11101. The listed phone number is (718) 205-2020.

What is Igor Port's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Igor Port was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.