John A Destito in Rome - Dentist

John A Destito - NPI 1548383359

John A Destito is a Dentist in Rome, New York. John A Destito practices all healthcare services and medical treatments related to Dentist. The NPI Number for John A Destito is 1548383359. The last update date is 2007-07-09.

John A Destito's current location address is 206 W Thomas St, Rome, New York. You can contact this provider via phone number 3153369190 and fax number 3153363121. The mailing address for John A Destito is 206 W Thomas St, Rome, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name John A Destito
Address 206 W Thomas St, Rome, New York
Phone Number 3153369190
Fax Number 3153363121
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1548383359
Provider Enumeration Date 2007-04-08
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 206 W Thomas St
City Rome
State New York (NY)
Post Code 134405008
Phone Number 3153369190
Fax Number 3153363121

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 26896
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
596121 NY --

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FAQs about John A Destito

What is the unique 10-digit identification code assigned to John A Destito by the Centers for Medicare & Medicaid Services?

The John A Destito has been issued the NPI (National Provider Identifier) 1548383359, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John A Destito's facilities are situated?

The facilities of John A Destito are physically located at the following address: 206 W Thomas St, Rome, NY, 134405008.

What is John A Destito's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John A Destito is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

When did John A Destito receive its 1548383359 assignment?

The John A Destito was assigned its 1548383359 on 2007-04-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to John A Destito last refreshed?

The information related to the John A Destito, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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