Provider Demographics
NPI:1871738120
Name:BINDEMAN, JOHN MARTIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARTIN
Last Name:BINDEMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 N MCMULLEN BOOTH RD STE D5
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-2542
Mailing Address - Country:US
Mailing Address - Phone:727-725-9958
Mailing Address - Fax:727-669-1794
Practice Address - Street 1:1530 N MCMULLEN BOOTH RD STE D5
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-2542
Practice Address - Country:US
Practice Address - Phone:727-725-9958
Practice Address - Fax:727-669-1794
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00117741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice