Dr. John William Antonetz
Dental Public Health
2200 Fort Roots Dr
North Little Rock
, Arkansas 72114-1709
Dr. John William Antonetz
Dental Public Health
2200 Fort Roots Dr
North Little Rock
, Arkansas 72114-1709
(501) 225-9437
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. John William Antonetz
- 11127 Gila Valley Dr
- Little Rock, AR
- Zip : 72212-3505
- Phone : (501) 225-9437
Second Address
- Dr. John William Antonetz
- 2200 Fort Roots Dr
- North Little Rock, AR
- Zip : 72114-1709
- Phone : (501) 257-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 030938 | NY |
National Provider Identifier
| NPI | 1255422622 |
|---|---|
| Provider Name | Dr. John William Antonetz |
| First Address | Little Rock, AR 72212-3505 |
| Second Address | North Little Rock, AR 72114-1709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.