Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Irivelisse Stevens Porter, DMD

Individual provider General Practice Dentistry · NPI 1407101033

Dr. Irivelisse Stevens Porter, DMD is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12086 Fort Caroline Rd Ste 105
Jacksonville, FL 32225-2687
Phone: (904) 807-9127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19714 (FL)

Record details

NPI number1407101033
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 19, 2012
Last updated in NPPESJuly 19, 2012

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