Provider Demographics
NPI:1851309090
Name:ESPOSITO, JOHN R (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:260 KNOWLES AVE.
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3858
Mailing Address - Country:US
Mailing Address - Phone:215-322-0467
Mailing Address - Fax:215-322-5821
Practice Address - Street 1:260 KNOWLES AVE.
Practice Address - Street 2:SUITE 110
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3858
Practice Address - Country:US
Practice Address - Phone:215-322-0467
Practice Address - Fax:215-322-5821
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS017156L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice