Provider Demographics
NPI:1295879948
Name:EHRETH, JOHN STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:STEVEN
Last Name:EHRETH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10 ROCK POINTE LN STE 5
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2672
Mailing Address - Country:US
Mailing Address - Phone:540-351-0009
Mailing Address - Fax:540-351-0049
Practice Address - Street 1:10 ROCK POINTE LN STE 5
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2672
Practice Address - Country:US
Practice Address - Phone:540-351-0009
Practice Address - Fax:540-351-0049
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010074831223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics