Provider Demographics
NPI:1881727188
Name:DUKES, JOHN MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:DUKES
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 1:501 CEDAR RD
Mailing Address - Street 2:SUITE #1 A
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-5527
Mailing Address - Country:US
Mailing Address - Phone:757-548-0000
Mailing Address - Fax:757-548-0050
Practice Address - Street 1:501 CEDAR RD
Practice Address - Street 2:SUITE #1A
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5527
Practice Address - Country:US
Practice Address - Phone:757-548-0000
Practice Address - Fax:747-548-0050
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA63171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice