Individual
DR. JOHN M DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4300 KINGS HWY, #500, PORT CHARLOTTE, FL 33980-2917
(239) 344-2337
(941) 629-2365
Mailing address
PO BOX 1357, FORT MYERS, FL 33902-1357
(740) 296-4965
(239) 278-3857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30014059
OH
1223G0001X
General Practice Dentistry
Primary
HAD46
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005587200
—
FL
05
—
0248637
—
OH
Enumeration date
09/07/2006
Last updated
03/26/2013
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