John David Dos Passos in Brandon - General Practice

John David Dos Passos - NPI 1265411953

John David Dos Passos is a General Practice in Brandon, Florida. John David Dos Passos practices all healthcare services and medical treatments related to General Practice. The NPI Number for John David Dos Passos is 1265411953. The last update date is 2023-10-13.

John David Dos Passos's current location address is 2114 W Brandon Blvd, Brandon, Florida. You can contact this provider via phone number 8137937976 and fax number 8135746139. The mailing address for John David Dos Passos is 2114 W Brandon Blvd, Brandon, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John David Dos Passos
Address 2114 W Brandon Blvd, Brandon, Florida
Phone Number 8137937976
Fax Number 8135746139
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1265411953
Provider Enumeration Date 2006-01-11
Last Updated Date 2023-10-13

Provider Mailing Address Detail

Address 2114 W Brandon Blvd
City Brandon
State Florida (FL)
Post Code 335114704
Phone Number 8137937976
Fax Number 8135746139

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN12680
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
73589200 FL --

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FAQs about John David Dos Passos

What is the John David Dos Passos's unique identification number?

The John David Dos Passos has been assigned the NPI (National Provider Identifier) Number 1265411953 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where John David Dos Passos's facilities are geographically located?

The facilities of John David Dos Passos are physically situated at the following location: 2114 W Brandon Blvd, Brandon, FL, 335114704.

What is the area of specialization for John David Dos Passos, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John David Dos Passos is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the John David Dos Passos receive the assignment of its 1265411953 from the Centers for Medicare & Medicaid Services?

The John David Dos Passos was issued its 1265411953 by the Centers for Medicare & Medicaid Services on 2006-01-11.

As of what date were the details related to John David Dos Passos most recently updated or revised?

The information pertaining to John David Dos Passos, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-13.

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