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NPI Code Detail

MEDICARE: DR. JOHN M DEMARCO DDS

MEDICARE:  DR. JOHN M DEMARCO  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
11223G0001XGeneral Practice Dentistry30014059OH
21223G0001XGeneral Practice DentistryHAD46FL

Other Identifiers

General Provider Information

NPI Number : 1245333756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN M DEMARCO DDS
Provider Business Mailing Address
First Line : PO BOX 1357
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-1357
Country : US
Telephone Number : 740-296-4965
Fax Number : 239-278-3857
Provider Business Practice Location Address
First Line : 4300 KINGS HWY
Second Line : #500
City : PORT CHARLOTTE
State : FL
Zip : 33980-2917
Country : US
Telephone Number : 239-344-2337
Fax Number : 941-629-2365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 05/17/2026

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Directions to “ DR. JOHN M DEMARCO DDS” Practice Location

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