Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992947212 Individual Practitioner Male Practitioner

Dr. John Destefon , DMD

Dentist - General Practice • N. Lauderdale, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Destefon, DMD is a registered healthcare professional specializing in Dentist - General Practice in N. Lauderdale, FL. Practice services are available at 7110 SOUTHGATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7110 Southgate Blvd

N. Lauderdale, FL 33068

Telephone 9547248949
Fax 9547241185
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in N. Lauderdale, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
1 Specialists

Practicing in N. Lauderdale, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN18561

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Ennio Deleon , DMD

Dentist - General Practice

NPI 1073834206

Doctor of Dental Medicine

Dr. Henry Suarez , DDS

Dentist - General Practice

NPI 1255522124

Doctor of Dental Surgery

NPI 1518596626

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 01, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2009

Registered at 7110 SOUTHGATE BLVD, N. LAUDERDALE, FL 33068 (Tel: 9547248949)

📍
Updated Business Mailing Address April 01, 2009

Registered at 7110 SOUTHGATE BLVD, N. LAUDERDALE, FL 33068 (Tel: 9547248949)

👤
Provider Name / Credentials Updated April 01, 2009

Recorded as JOHN DESTEFON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2009

Dentist (License #DN18561 in FL)

🟢
Initial NPI Registration & Enumeration April 01, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992947212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2009
Last Update: April 01, 2009
Sole Proprietor: No

Mailing Address

7110 Southgate Blvd

N. Lauderdale, FL 33068

Phone: 9547248949

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.