John J. Brodner in Tequesta - General Practice

John J. Brodner - NPI 1104911775

John J. Brodner is a General Practice in Tequesta, Florida. John J. Brodner practices all healthcare services and medical treatments related to General Practice. The NPI Number for John J. Brodner is 1104911775. The last update date is 2020-08-22.

John J. Brodner's current location address is 399 Tequesta Dr., Tequesta, Florida. You can contact this provider via phone number 5617467600 and fax number 5617439884. The mailing address for John J. Brodner is 399 Tequesta Dr., Tequesta, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization John J. Brodner
Address 399 Tequesta Dr., Tequesta, Florida
Phone Number 5617467600
Fax Number 5617439884
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Brodner Jason John
Credentials D.M.D.
Telephone Number 5617467600

NPI Number Detail

NPI Number 1104911775
Provider Enumeration Date 2006-10-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 399 Tequesta Dr.
City Tequesta
State Florida (FL)
Post Code 334693087
Phone Number 5617467600
Fax Number 5617439884

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN14999
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 J. Brodner

What is the unique identifier code issued to John J. Brodner by the Centers for Medicare & Medicaid Services (CMS)?

The John J. Brodner has been assigned the NPI (National Provider Identifier) 1104911775. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the John J. Brodner located?

The John J. Brodner is located at 399 Tequesta Dr., Tequesta, FL 334693087.

What is John J. Brodner's specialized field of practice, and what is the corresponding taxonomy classification code?

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

On what date was the 1104911775 assigned to John J. Brodner?

The John J. Brodner was issued its 1104911775 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to John J. Brodner most recently updated or refreshed?

The details pertaining to the John J. Brodner, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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