| Joseph V Calderone Jr Dmd Pa | |
|
415 Summerhaven Dr Debary FL 32713-2716 | |
| (386) 668-8600 | |
| (386) 668-0031 |
| Full Name | Joseph V Calderone Jr Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 415 Summerhaven Dr, Debary, Florida |
| Authorized Official Name and Position | Joseph V Calderone (PRESIDENT) |
| Authorized Official Contact | 3866688600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph V Calderone Jr Dmd Pa 415 Summerhaven Dr Debary FL 32713-2716 Ph: (386) 668-8600 | Joseph V Calderone Jr Dmd Pa 415 Summerhaven Dr Debary FL 32713-2716 Ph: (386) 668-8600 |
| NPI Number | 1790842607 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790842607 | NPI | - | NPPES |
| 60135 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 9410 (Florida) | Primary |
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