Individual
DR. JOHN MICHAEL PANCZYSZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
938 BRIDGEWATER DR, UNIT 3B, PORT ORANGE, FL 32129-4139
(386) 756-3728
(386) 756-3654
Mailing address
938 BRIDGEWATER DR, UNIT 3B, PORT ORANGE, FL 32129-4139
(386) 756-3728
(386) 756-3654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0009950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43352
UNITED CONCORDIA
—
Enumeration date
02/20/2007
Last updated
07/08/2007
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