MEDICARE: JOHN J DANN III MD DMD

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	174400000X	Specialist	G41331	CA

General Provider Information

NPI Number	:	1952583411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN J DANN III MD DMD

Provider Business Mailing Address
First Line	:	895 MORAGA RD STE 7
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-5039
Country	:	US
Telephone Number	:	925-283-1212
Fax Number	:	925-283-1217

Provider Business Practice Location Address
First Line	:	895 MORAGA RD STE 7
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-5039
Country	:	US
Telephone Number	:	925-283-1212
Fax Number	:	925-283-1217

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN J DANN III
Credential	:	D.M.D, M.D.
Telephone Number	:	925-283-1212

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	02/04/2008

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