Provider Demographics
NPI:1518359843
Name:JOHN S. DOZIER DMD PA
Entity Type:Organization
Organization Name:JOHN S. DOZIER DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SIMMONS
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:850-878-0414
Mailing Address - Street 1:2929A CAPITAL MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4407
Mailing Address - Country:US
Mailing Address - Phone:850-878-0414
Mailing Address - Fax:850-878-6557
Practice Address - Street 1:2929A CAPITAL MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4407
Practice Address - Country:US
Practice Address - Phone:850-878-0414
Practice Address - Fax:850-878-6557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86831223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty