Dos Passos, John David

Dos Passos, John David is an individual health care provider with primary practice located at 2114 W Brandon Blvd , Brandon FL 33511-4704. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dos Passos, John David can be contacted via phone (813) 793-7976.

Contact Information

Primary practice address
2114 W Brandon Blvd Brandon FL 33511-4704
Phone: (813) 793-7976
Fax: (813) 574-6139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN12680 Florida

Profile Details

NPI number 1265411953
LBN Legal business name Dos Passos, John David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265411953 NPPES
Florida MEDICAID 073589200

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