Individual provider · Type 1 NPI

John Robert Magnacca, DDS

Oral and Maxillofacial Surgery (Dentist) · Boca Raton, FL

NPI number 1417009150 Active

Practice location

900 NW 13th St, Suite 202
Boca Raton, FL 33486-2335

Fax (561) 391-0743

Mailing address

900 NW 13th Street, Suite 202
Boca Raton, FL 33486

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X06221 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1417009150

John Robert Magnacca, DDS's National Provider Identifier is 1417009150, issued on Jan 16, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boca Raton, FL. The record was last updated on Jul 8, 2007.