Provider Demographics
NPI:1881672855
Name:DEMAS, JOHN PETER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PETER
Last Name:DEMAS
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 1:8814 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-6004
Mailing Address - Country:US
Mailing Address - Phone:718-745-4225
Mailing Address - Fax:718-745-1428
Practice Address - Street 1:8814 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6004
Practice Address - Country:US
Practice Address - Phone:718-745-4225
Practice Address - Fax:718-745-1428
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0348691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice