Derrick V Johnson in Mountain Home - Dentist
Derrick V Johnson - NPI 1407963762
Derrick V Johnson is a Dentist in Mountain Home, Arkansas. Derrick V Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Derrick V Johnson is 1407963762. The last update date is 2015-06-09.
Derrick V Johnson's current location address is 114 Dyer Street, Mountain Home, Arkansas. You can contact this provider via phone number 8705800950 and fax number 8705800951. The mailing address for Derrick V Johnson is 114 Dyer Street, Mountain Home, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick V Johnson |
|---|---|
| Address | 114 Dyer Street, Mountain Home, Arkansas |
| Phone Number | 8705800950 |
| Fax Number | 8705800951 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407963762 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2015-06-09 |
Provider Mailing Address Detail
| Address | 114 Dyer Street |
|---|---|
| City | Mountain Home |
| State | Arkansas (AR) |
| Post Code | 72653 |
| Phone Number | 8705800950 |
| Fax Number | 8705800951 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4583 |
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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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Post Comment/ Review Below
What is the Derrick V Johnson's unique identification number?
The Derrick V Johnson has been assigned the NPI (National Provider Identifier) Number 1407963762 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Derrick V Johnson is physically located?
The Derrick V Johnson is physically situated at the following address: 114 Dyer Street, Mountain Home, AR, 72653.
What is Derrick V Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derrick V Johnson's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Derrick V Johnson receive the assignment of its 1407963762 from the Centers for Medicare & Medicaid Services?
The Derrick V Johnson was issued its 1407963762 by the Centers for Medicare & Medicaid Services on 2006-08-24.
As of what date were the Derrick V Johnson's details last updated?
The information pertaining to the Derrick V Johnson, including its address, specialty, and other details, was most recently updated on 2015-06-09.