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JOHN MAROON DDS A PROFESSIONAL CORPORATION NPI 1740405612


NPI Information

NPI: 1740405612
Provider Name: JOHN MAROON DDS A PROFESSIONAL CORPORATION

Former Legal Business Name: JOHN MAROON DDS A PROFESSIONAL CORPORATION

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
310 THIRD AVE
STE C 1B
CHULA VISTA, CA
ZIP 91910
Phone: (619) 476-1600
Get Directions

JOHN MAROON DDS A PROFESSIONAL CORPORATION is a general practice dentist in Chula Vista, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JOHN MAROON DDS A PROFESSIONAL CORPORATION NPI is 1740405612. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is John Maroon Dds A Professional Corporation.

The provider's business location address is:

310 THIRD AVE
STE C 1B
CHULA VISTA, CA
ZIP 91910
Phone: (619) 476-1600
Fax: (619) 476-8280

The provider's authorized official is John P Maroon .
The authorized official title is Dentist Dds and has the following contact phone number (619) 476-1600.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 12/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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