Individual
DR. JOHN MICHAEL DELLAPORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
135 PROFESSIONAL DR, SUITE 107, PONTE VEDRA BEACH, FL 32082-6276
(904) 280-4151
(904) 280-0172
Mailing address
135 PROFESSIONAL DR, SUITE 107, PONTE VEDRA BEACH, FL 32082-6276
(904) 280-4151
(904) 280-0172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0012307
FL
Other
Enumeration date
01/08/2007
Last updated
12/15/2015
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