John Antonelli, DDS is a
Dentist based in Fort Lauderdale Davie, Florida. John Antonelli is licensed to practice in Florida (license number TPNU053) and his current practice location is
3200 S University Drive, Nova Southeastern University College Of Dental Medicine, Fort Lauderdale Davie, Florida. He can be reached at his office (for appointments etc.) via phone at
(954) 262-7348.
NPI number for John Antonelli is 1316096977 and his current mailing address is 3200 S University Drive, Nova Southeastern University College Of Dental Medicine, Fort Lauderdale Davie, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316096977.
Healthcare Provider's Profile
Full Name | John Antonelli |
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Gender | Male |
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Speciality | Dentist |
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Location | 3200 S University Drive, Fort Lauderdale Davie, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316096977
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John Antonelli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316096977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | TPNU053 (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. John Antonelli 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 |
John Antonelli, DDS 3200 S University Drive, Nova Southeastern University College Of Dental Medicine, Fort Lauderdale Davie, FL 33328-2018 Ph: (954) 262-7348 | John Antonelli, DDS 3200 S University Drive, Nova Southeastern University College Of Dental Medicine, Fort Lauderdale Davie, FL 33328-2018 Ph: (954) 262-7348 |
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