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NPI Code Detail

MEDICARE: DR. JOHN MICHAEL CONSTANTINE D.M.D.

MEDICARE: DR. JOHN MICHAEL CONSTANTINE D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN22257FL
2122300000XDentist13043TN
3261QM2500XMedical Specialty Clinic/CenterDN22257FL

General Provider Information

NPI Number : 1659725869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MICHAEL CONSTANTINE D.M.D.
Provider Business Mailing Address
First Line : 185 N LAKEMONT AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-3203
Country : US
Telephone Number : 407-644-7703
Fax Number :
Provider Business Practice Location Address
First Line : 117 W SEVIER AVE
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-3799
Country : US
Telephone Number : 423-933-3981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2016
Last Update Date : 03/02/2026

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Directions to “ DR. JOHN MICHAEL CONSTANTINE D.M.D.” Practice Location

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