Provider Demographics
NPI:1295942902
Name:SAVON, JOHN DONALD (DMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DONALD
Last Name:SAVON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 E ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1406
Mailing Address - Country:US
Mailing Address - Phone:856-546-0734
Mailing Address - Fax:856-546-7150
Practice Address - Street 1:40 E ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1406
Practice Address - Country:US
Practice Address - Phone:856-546-0734
Practice Address - Fax:856-546-7150
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01869500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist