Porco Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PORCO FAMILY DENTAL PLLC

Practice address

200 South St
Ridgway, PA 15853-2011

Phone

(814) 776-1293

NPI assigned

Dec 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tyler Porco, DMDNPI 1952759474

Title

Dentist

Phone

(724) 825-9973

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Porco, DMD

  • General Practice Dentistry
  • Ridgway, PA
  • NPI 1952759474
  NPD Authorized official
• Paul Zachary Rees, DMD

  • Dentist
  • Ridgway, PA
  • NPI 1609052349
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1619680485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158532011",
            "telephone_number": "814-776-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158532011",
            "telephone_number": "814-776-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORCO FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "PORCO",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "724-825-9973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Office of Human Services, Inc.
• Vikram Singh Panwar, M.D
• Mallory Lynn Park, MSN, CRNP, FNP-C
• Hridayesh K Pathak, M.D.
• Gregory Regis Petrosky, PT
• Tyler Porco, DMD
• Medapally P Reddy, M.D.
• Paul Zachary Rees, DMD
• Alyse Renwick
• Restful Nights Sleep Center

• General Practice Dentistry in Ridgway, PA
• Providers in Ridgway, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.