Healthcare Provider Details

I. General information

NPI: 1154309664
Provider Name (Legal Business Name): JOHN FRANCIS RANZINI D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 559 BOX 6358
FPO-AP OKINAWA
96377
JP

IV. Provider business mailing address

PSC 559 BOX 6358
FPO-AP OKINAWA
96377
JP

V. Phone/Fax

Practice location:
  • Phone: 11-622-7539
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: