Ebenezer Johnson is a Dentist in Montclair, California. Ebenezer Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ebenezer Johnson is 1518002260. The last update date is 2007-07-08.
Ebenezer Johnson's current location address is 9645 Monte Vista Ave, Montclair, California. You can contact this provider via phone number 9096216002 and fax number 9096216634. The mailing address for Ebenezer Johnson is 9645 Monte Vista Ave, Montclair, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ebenezer Johnson |
|---|---|
| Address | 9645 Monte Vista Ave, Montclair, California |
| Phone Number | 9096216002 |
| Fax Number | 9096216634 |
| Sole Proprietor | N |
| Credentials | DDS FAGD |
NPI Number Detail
| NPI Number | 1518002260 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9645 Monte Vista Ave |
|---|---|
| City | Montclair |
| State | California (CA) |
| Post Code | 91763 |
| Phone Number | 9096216002 |
| Fax Number | 9096216634 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D36088 |
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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 Ebenezer Johnson by the Centers for Medicare & Medicaid Services?
The Ebenezer Johnson has been assigned the NPI (National Provider Identifier) 1518002260. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ebenezer Johnson's facilities are geographically located?
The facilities of Ebenezer Johnson are physically situated at the following location: 9645 Monte Vista Ave, Montclair, CA, 91763.
What is Ebenezer Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ebenezer Johnson's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1518002260 assigned to Ebenezer Johnson?
The Ebenezer Johnson was issued its 1518002260 on 2007-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ebenezer Johnson most recently updated or refreshed?
The details pertaining to the Ebenezer Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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