Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John William Antonetti, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1992916266

Dr. John William Antonetti, MD is a Plastic and Reconstructive Surgery in Dallas, Texas. Graduated from University of Texas Medical Branch at Galveston in 2007, 19 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
19
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7777 Forest Ln Ste C212
Dallas, TX 75230-6836
Phone: (214) 708-6961
Fax: (855) 592-2934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence M6020 (TX)

Record details

NPI number1992916266
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address7777 Forest Ln Bldg C, Dallas, TX 75230-2571

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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