Derrick Thor Johnston in Bisbee - Dentist
Derrick Thor Johnston - NPI 1578625091
Derrick Thor Johnston is a Dentist in Bisbee, Arizona. Derrick Thor Johnston practices all healthcare services and medical treatments related to Dentist. The NPI Number for Derrick Thor Johnston is 1578625091. The last update date is 2007-07-08.
Derrick Thor Johnston's current location address is 2 Naco Rd, Bisbee, Arizona. You can contact this provider via phone number 5204325371 and fax number 5204326658. The mailing address for Derrick Thor Johnston is 2 Naco Rd, Bisbee, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Thor Johnston |
|---|---|
| Address | 2 Naco Rd, Bisbee, Arizona |
| Phone Number | 5204325371 |
| Fax Number | 5204326658 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1578625091 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2 Naco Rd |
|---|---|
| City | Bisbee |
| State | Arizona (AZ) |
| Post Code | 85603 |
| Phone Number | 5204325371 |
| Fax Number | 5204326658 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2689 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Derrick Thor Johnston by the Centers for Medicare & Medicaid Services?
The Derrick Thor Johnston has been assigned the NPI (National Provider Identifier) 1578625091. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Derrick Thor Johnston is physically located?
The Derrick Thor Johnston is situated at the following address: 2 Naco Rd, Bisbee, AZ 85603.
What is Derrick Thor Johnston's area of expertise and its corresponding taxonomy classification?
The Derrick Thor Johnston's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did Derrick Thor Johnston receive its 1578625091 assignment from the Centers for Medicare & Medicaid Services?
The Derrick Thor Johnston was assigned its 1578625091 on 2006-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Derrick Thor Johnston's information last updated?
The Derrick Thor Johnston's information was last updated on 2007-07-08.
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