John W Savage, DDS
Individual provider Active NPI General Practice Dentistry · Ebro, FL
NPI 1720344641 · NPPES record last updated Apr 4, 2012
Key facts
- NPI
- 1720344641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- FLA2782 (FL)
- Practice address
- 5419 Little Acre Rd
Ebro, FL 32437 - Phone
- (850) 535-2257
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLA2782 | FL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | FLA2782 | FL | Yes |
Addresses
Primary practice location
5419 Little Acre Rd
Ebro, FL 32437
Mailing address
5419 Little Acre Rd
Ebro, FL 32437
Phone (850) 535-2257
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.