Provider Demographics
NPI:1427089788
Name:IONATA, JOHN F (DMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:IONATA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25400 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 199
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-2149
Mailing Address - Country:US
Mailing Address - Phone:727-796-2427
Mailing Address - Fax:727-796-2428
Practice Address - Street 1:25400 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 199
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-2149
Practice Address - Country:US
Practice Address - Phone:727-796-2427
Practice Address - Fax:727-796-2428
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL140441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice