MEDICARE: DR. JOHN MICHAEL DUKES 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	1223G0001X	General Practice Dentistry	6317	VA

General Provider Information

NPI Number	:	1881727188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MICHAEL DUKES D.D.S.

Provider Business Mailing Address
First Line	:	501 CEDAR RD
Second Line	:	SUITE #1 A
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-5527
Country	:	US
Telephone Number	:	757-548-0000
Fax Number	:	757-548-0050

Provider Business Practice Location Address
First Line	:	501 CEDAR RD
Second Line	:	SUITE #1A
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-5527
Country	:	US
Telephone Number	:	757-548-0000
Fax Number	:	747-548-0050

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/08/2007

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