Provider Demographics
NPI:1760542369
Name:QUIRK, JOHN HUNTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HUNTER
Last Name:QUIRK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 WISTERIA ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3827
Mailing Address - Country:US
Mailing Address - Phone:941-366-0319
Mailing Address - Fax:
Practice Address - Street 1:544 JOHN RINGLING BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-1430
Practice Address - Country:US
Practice Address - Phone:941-388-4114
Practice Address - Fax:941-388-2405
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL89721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice