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NPI Code Detail

MEDICARE: JOHN FRANCIS VELLOTTI DMD

MEDICARE: JOHN FRANCIS VELLOTTI 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
1122300000XDentist6288KY

General Provider Information

NPI Number : 1700192812
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FRANCIS VELLOTTI DMD
Provider Business Mailing Address
First Line : 1904 W PARKSIDE LN
Second Line : SUITE 201
City : PHOENIX
State : AZ
Zip : 85027-1228
Country : US
Telephone Number : 877-227-9892
Fax Number : 623-321-6268
Provider Business Practice Location Address
First Line : 2333 ALEXANDRIA DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3215
Country : US
Telephone Number : 877-227-9892
Fax Number : 623-321-6268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2010
Last Update Date : 08/26/2010

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