MEDICARE: DR. JOHN P. LONGMIRE III D.D.S.

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	1223P0106X	Oral and Maxillofacial Pathology Dentistry	DN11114	FL

General Provider Information

NPI Number	:	1093744823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN P. LONGMIRE III D.D.S.

Provider Business Mailing Address
First Line	:	1309 W FLETCHER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3310
Country	:	US
Telephone Number	:	813-960-5540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 W FLETCHER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3310
Country	:	US
Telephone Number	:	813-960-5540
Fax Number	:

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1891719506 — DR. THOMAS MICHAEL LANE D.C.
Practice Location Address:

1307 W FLETCHER AVE
TAMPA, FL
33612-3310

Practice Phone: 813-968-4293
Practice Fax: 813-968-3182

1417088402 — DR. ALEX GUTIERREZ D.D.S.
Practice Location Address:

1303 W FLETCHER AVE
TAMPA, FL
33612-3310

Practice Phone: 813-968-1611
Practice Fax: 813-960-1920

1558495382 — DR LYNN FAMILY PRACTICE PA
Practice Location Address:

1323 W FLETCHER AVE
TAMPA, FL
33612-3310

Practice Phone: 813-999-2188
Practice Fax:

1235333469 — DR. DOUGLAS G. GENNINGER D.D.S.
Practice Location Address:

1305 W FLETCHER AVE
TAMPA, FL
33612-3310

Practice Phone: 813-968-4808
Practice Fax: 813-968-3439

1871782003 — MICHAEL J POFF LCSW, PA
Practice Location Address:

1325 W FLETCHER AVE
TAMPA, FL
33612-3310

Practice Phone: 813-964-5684
Practice Fax: 813-908-2880

1932388162 — MICHAEL J. POFF, LCSW, PA
Practice Location Address:

1325 W FLETCHER AVE
TAMPA, FL
33612-3310

Practice Phone: 813-964-5684
Practice Fax: 813-908-2880

Directions to “ DR. JOHN P. LONGMIRE III D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.