MEDICARE: JOHN H BIGGS 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	1223G0001X	General Practice Dentistry	0003713	FL

General Provider Information

NPI Number	:	1417093451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN H BIGGS DDS

Provider Business Mailing Address
First Line	:	5851 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1347
Country	:	US
Telephone Number	:	561-965-9988
Fax Number	:

Provider Business Practice Location Address
First Line	:	5851 S CONGRESS AVE
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1347
Country	:	US
Telephone Number	:	561-965-9988
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN H BIGGS
Credential	:	DDS,MS
Telephone Number	:	561-965-9988

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/22/2020

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