Male or Other

Dr. John M. Panczyszyn D.D.S.

Dentist in Port Orange, FL(View on Map)

Full Name

Dr. John Michael Panczyszyn D.D.S.

NPI Number

1629113543

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/20/2007

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

DN0009950

Contact
Information

Purpose

Mailing
Location

Address

938 BRIDGEWATER DR
938 BRIDGEWATER DR

City

Port Orange
Port Orange

State

FL
FL

Postal Code

32129-4139
32129-4139

Country

US
US

Telephone Number

(386) 756-3728
(386) 756-3728

Identifiers

Identifier

43352

Identifier State

Unknown

Identifier Issuer

UNITED CONCORDIA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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