Individual
DR. JOHN MICHAEL CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
117 W SEVIER AVE, KINGSPORT, TN 37660-3799
(423) 933-3981
Mailing address
185 N LAKEMONT AVE, WINTER PARK, FL 32792-3203
(407) 644-7703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13043
TN
1223G0001X
General Practice Dentistry
DN22257
FL
261QM2500X
Medical Specialty Clinic/Center
DN22257
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2016
Last updated
03/02/2026
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