Eric R. Depetris, D.M.D.

General Practice Dentistry · Middleburg, FL

Individual Active NPI

NPI number 1528118841

Practice location

2550 County Road 220
Suite One
Middleburg, FL 32068-6532
Phone
(904) 272-6600
Fax
(904) 276-0550

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NPI record

NPI
1528118841
Entity type
Individual (Type 1)
Enumeration date
January 11, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN15960 FL

About Dr. Depetris

Eric R. Depetris, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2550 County Road 220, Suite One, Middleburg, FL 32068-6532. The NPI number 1528118841 was assigned on January 11, 2007 and the record was last updated on July 8, 2007.

Dr. Depetris lists a license in the registry: #DN15960 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eric R. Depetris, D.M.D.?

The NPI number is 1528118841.

What is the phone number of Dr. Depetris?

The phone number listed for the practice location is (904) 272-6600.

Where is Dr. Depetris located?

2550 County Road 220, Suite One, Middleburg, FL 32068-6532.

What is the taxonomy code for Dr. Depetris?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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