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Individual
DR. JOHN PATRICK DISPONETT
Active
Individual
DR. JOHN PATRICK DISPONETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6805
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112179
BC BS OF TN
KY
05
—
60068053
—
KY
01
—
6238
PASSPORT
KY
Enumeration date
03/12/2007
Last updated
10/21/2019
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