MEDICARE: JOHN A FLOWERS 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
1	122300000X	Dentist	0401411465	VA

General Provider Information

NPI Number	:	1861525917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A FLOWERS DDS

Provider Business Mailing Address
First Line	:	2400 COLONY CROSSING PL
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-4281
Country	:	US
Telephone Number	:	804-639-6445
Fax Number	:	804-639-6400

Provider Business Practice Location Address
First Line	:	2400 COLONY CROSSING PL
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-4281
Country	:	US
Telephone Number	:	804-639-6445
Fax Number	:	804-639-6400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	06/20/2014

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