Individual provider · Type 1 NPI
John William Antonetti, MD
Plastic and Reconstructive Surgery Physician · Dallas, TX
NPI number
1992916266
Active
Practice location
7777 Forest Ln Ste C212
Dallas, TX 75230-6836
Fax (855) 592-2934
Mailing address
7777 Forest Ln Bldg C
Dallas, TX 75230-2571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | M6020 (TX) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1992916266
John William Antonetti, MD's National Provider Identifier is 1992916266, issued on May 25, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Dallas, TX. The record was last updated on Nov 12, 2025.