Courtney J Johnson in Little Rock - Dentist

Courtney J Johnson - NPI 1053460790

Courtney J Johnson is a Dentist in Little Rock, Arkansas. Courtney J Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Courtney J Johnson is 1053460790. The last update date is 2012-02-06.

Courtney J Johnson's current location address is 1 Childrens Way, Little Rock, Arkansas. You can contact this provider via phone number 5013641100. The mailing address for Courtney J Johnson is 1 Childrens Way, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Courtney J Johnson
Address 1 Childrens Way, Little Rock, Arkansas
Phone Number 5013641100
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1053460790
Provider Enumeration Date 2007-01-10
Last Updated Date 2012-02-06

Provider Mailing Address Detail

Address 1 Childrens Way
City Little Rock
State Arkansas (AR)
Post Code 722023500
Phone Number 5013641100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 3566
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5A001 AR BLUE CROSS BLUE SHIELD

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FAQs about Courtney J Johnson

What is the unique provider identifier assigned to Courtney J Johnson?

The Courtney J Johnson has been issued the NPI (National Provider Identifier) 1053460790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Courtney J Johnson's facilities are situated?

The facilities of Courtney J Johnson are physically located at the following address: 1 Childrens Way, Little Rock, AR, 722023500.

What is Courtney J Johnson's area of expertise and its corresponding taxonomy classification?

The Courtney J Johnson'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 Courtney J Johnson receive its 1053460790 assignment from the Centers for Medicare & Medicaid Services?

The Courtney J Johnson was assigned its 1053460790 on 2007-01-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Courtney J Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Courtney J Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-06.

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