Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN WILLIAM ANTONETZ, DDS
Active Sole ProprietorDental Public Health · NORTH LITTLE ROCK, AR
Registration Details
- NPI Number
- 1255422622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.563358483476 yrs)
- Last Updated
- Jul 8, 2007
- License
-
030938 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 FORT ROOTS DRNORTH LITTLE ROCK, AR, 721141709Browse AR providers · Browse ZIP 72114
- Phone
- 5012571000
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.