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NPI Code Detail

MEDICARE: DR. JOHN SACCONE D.M.D.

MEDICARE:  DR. JOHN  SACCONE  D.M.D.
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 Dentistry39314NY

General Provider Information

NPI Number : 1942290838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN SACCONE D.M.D.
Provider Business Mailing Address
First Line : 7 ASHLEIGH DR
Second Line :
City : SAINT JAMES
State : NY
Zip : 11780-1526
Country : US
Telephone Number : 631-751-5257
Fax Number :
Provider Business Practice Location Address
First Line : 859 CONNETQUOT AVE
Second Line :
City : ISLIP TERRACE
State : NY
Zip : 11752-1400
Country : US
Telephone Number : 631-277-3100
Fax Number : 631-277-3107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN SACCONE D.M.D.” Practice Location

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