Individual
DR. JOHN WILLIAM HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2505 S FEDERAL HWY # 1, FORT PIERCE, FL 34982-5922
(772) 464-4646
Mailing address
2505 S FEDERAL HWY # 1, FORT PIERCE, FL 34982-5922
(772) 464-4646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12511
FL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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