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NPI Code Detail

MEDICARE: MR. JOHN FOPPIANI DDS

MEDICARE:  MR. JOHN  FOPPIANI  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
11223P0300XPeriodontics42128NY

General Provider Information

NPI Number : 1871650408
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN FOPPIANI DDS
Provider Business Mailing Address
First Line : 255 MASON AVE.
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-3416
Country : US
Telephone Number : 718-987-6543
Fax Number : 718-987-6542
Provider Business Practice Location Address
First Line : 255 MASON AVE.
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-3416
Country : US
Telephone Number : 718-987-6543
Fax Number : 718-987-6542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 02/23/2010

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Directions to “ MR. JOHN FOPPIANI DDS” Practice Location

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