Provider Demographics
NPI:1124694500
Name:PLANTE, JOHN (MD, MSCR)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:PLANTE
Suffix:
Gender:
Credentials:MD, MSCR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 N HASKELL AVE APT 3149
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2967
Mailing Address - Country:US
Mailing Address - Phone:864-230-6092
Mailing Address - Fax:
Practice Address - Street 1:268 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-3040
Practice Address - Country:US
Practice Address - Phone:843-792-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10080923207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology