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NPI Code Detail

MEDICARE: DR. JOHN WESLEY VARGO DDS

MEDICARE: DR. JOHN WESLEY VARGO DDS
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
11223P0300XPeriodontics12WV

General Provider Information

NPI Number : 1841402971
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WESLEY VARGO DDS
Provider Business Mailing Address
First Line : 309 GREENWOOD DR
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29928-4223
Country : US
Telephone Number : 843-363-6488
Fax Number :
Provider Business Practice Location Address
First Line : 4 OKATIE CENTER BLVD S STE 103
Second Line :
City : OKATIE
State : SC
Zip : 29909-7530
Country : US
Telephone Number : 843-705-9551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 01/10/2019

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Directions to “ DR. JOHN WESLEY VARGO DDS” Practice Location

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