Provider Demographics
NPI:1265402986
Name:DERMODY, FRANCIS JOSEPH JR (DMD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:DERMODY
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:F
Other - Middle Name:JOSEPH
Other - Last Name:DERMODY
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:2000 35 AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:772-562-5150
Mailing Address - Fax:772-562-2711
Practice Address - Street 1:2000 35 AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-562-5150
Practice Address - Fax:772-562-2711
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN137741223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry