John Michael Dellaporta in Ponte Vedra Beach - General Practice

John Michael Dellaporta - NPI 1194873224

John Michael Dellaporta is a General Practice in Ponte Vedra Beach, Florida. John Michael Dellaporta practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Michael Dellaporta is 1194873224. The last update date is 2015-12-15.

John Michael Dellaporta's current location address is 135 Professional Dr, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9042804151 and fax number 9042800172. The mailing address for John Michael Dellaporta is 135 Professional Dr, Ponte Vedra Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John Michael Dellaporta
Address 135 Professional Dr, Ponte Vedra Beach, Florida
Phone Number 9042804151
Fax Number 9042800172
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1194873224
Provider Enumeration Date 2007-01-08
Last Updated Date 2015-12-15

Provider Mailing Address Detail

Address 135 Professional Dr
City Ponte Vedra Beach
State Florida (FL)
Post Code 320826276
Phone Number 9042804151
Fax Number 9042800172

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN0012307
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.

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FAQs about John Michael Dellaporta

What is the unique identifier code issued to John Michael Dellaporta by the Centers for Medicare & Medicaid Services?

The John Michael Dellaporta has been assigned the NPI (National Provider Identifier) 1194873224. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where John Michael Dellaporta is geographically located?

The John Michael Dellaporta is physically situated at the following location: 135 Professional Dr, Ponte Vedra Beach, FL, 320826276.

What is John Michael Dellaporta's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Michael Dellaporta's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did John Michael Dellaporta receive its 1194873224 assignment from the Centers for Medicare & Medicaid Services?

The John Michael Dellaporta was assigned its 1194873224 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding John Michael Dellaporta most recently updated?

The details pertaining to the John Michael Dellaporta, including its address, specialty, and other relevant information, were last refreshed on 2015-12-15.

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