Pasqual, John Robert

Pasqual, John Robert is an individual health care provider with primary practice located at 4600 Linton Blvd Ste 220, Delray Beach FL 33445-6600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Pasqual, John Robert can be contacted via phone (561) 900-9080.

Contact Information

Primary practice address
4600 Linton Blvd Ste 220 Delray Beach FL 33445-6600
Phone: (561) 900-9080
Fax: (561) 900-9084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DS030473L Pennsylvania
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN17270 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN17270 Florida

Profile Details

NPI number 1124000575
LBN Legal business name Pasqual, John Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 17th, 2017 - about 7 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 1124000575 NPPES
Pennsylvania MEDICAID 1011842730001

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