DR. John William Humphries, D.M.D.

NPI #1013176569 in Fort Pierce, Florida

Provider Information

NPI Number: 1013176569
Entity Type: Individual
Name: DR. John William Humphries, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 9, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 2505 S FEDERAL HWY # 1
City: Fort Pierce
State: Florida
ZIP Code: 34982-5922
Phone: (772) 464-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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