Dr John Destefon, DMD is a
Dentist - General Practice based in N. Lauderdale, Florida. Dr John Destefon is licensed to practice in Florida (license number DN18561) and his current practice location is
7110 Southgate Blvd, N. Lauderdale, Florida. He can be reached at his office (for appointments etc.) via phone at
(954) 724-8949.
NPI number for Dr John Destefon is 1992947212 and his current mailing address is 7110 Southgate Blvd, N. Lauderdale, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992947212.
Healthcare Provider's Profile
| Full Name | Dr John Destefon |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 7110 Southgate Blvd, N. Lauderdale, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992947212
- Provider Enumeration Date: 04/01/2009
- Last Update Date: 04/01/2009
Medical Identifiers
Medical identifiers for Dr John Destefon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992947212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DN18561 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Destefon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Destefon, DMD
7110 Southgate Blvd,
N. Lauderdale, FL 33068
Ph: (954) 724-8949 | Dr John Destefon, DMD
7110 Southgate Blvd,
N. Lauderdale, FL 33068
Ph: (954) 724-8949 |
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