John S Burby, D.M.D.
Individual provider Active NPI General Practice Dentistry · Dade City, FL
NPI 1801026299 · NPPES record last updated Jul 20, 2009
Key facts
- NPI
- 1801026299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7668 (FL)
- Practice address
- 14018 5TH St
Dade City, FL 33525-4303 - Phone
- (352) 567-3573
- Fax
- (352) 567-6626
- NPI assigned
- Jul 20, 2009
- 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 |
|---|---|---|---|
| 7668 | FL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7668 | FL | Yes |
Addresses
Primary practice location
14018 5TH St
Dade City, FL 33525-4303
Mailing address
14018 5TH St
Dade City, FL 33525-4303
Phone (352) 567-3573
Other providers in Dade City, FL
- David E Brune
- Marlo Deshawn Bryant
- Dorothy R Budetti
- Emily Buker
- Kaylee E Buraczewski
- Jose Ricardo Burgos Polo
- Melissa Maxine Burke
- Jackalynne Burns
- Anna Katherine Callahan
- Rhonda Cameron
All providers in Dade City, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2009. 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.