John Michael Panczyszyn D.D.S.

NPI 1629113543 - Dentist - 122300000X

NPI Details
NPI 1629113543
Gender Male
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
938 BRIDGEWATER DR
UNIT 3B
PORT ORANGE FL, 32129-4139, US
Phone (386) 756-3728
Fax (386) 756-3654
Business Location
938 BRIDGEWATER DR
UNIT 3B
PORT ORANGE FL, 32129-4139, US
Phone (386) 756-3728
Fax (386) 756-3654
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN0009950
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According to our database, Dr. John Michael Panczyszyn D.D.S. NPI is 1629113543, taxonomy code is 122300000X and license number is DN0009950, license state is located at Florida. John Michael Panczyszyn D.D.S. physically located at 938 Bridgewater Dr, Port Orange FL, 32129-4139. NPI Number John Michael Panczyszyn D.D.S. has the Individual type.

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1629113543 NPI number is provided on an as is basis without warranty of any kind. 1629113543 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Panczyszyn D.D.S. are for informational purposes only.