Phillip Randolph Johnson in San Diego - Dentist
Phillip Randolph Johnson - NPI 1356450159
Phillip Randolph Johnson is a Dentist in San Diego, California. Phillip Randolph Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Phillip Randolph Johnson is 1356450159. The last update date is 2018-03-17.
Phillip Randolph Johnson's current location address is 823 Gateway Center Way, San Diego, California. You can contact this provider via phone number 6199064623 and fax number 6199064564. The mailing address for Phillip Randolph Johnson is 823 Gateway Center Way, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Randolph Johnson |
|---|---|
| Address | 823 Gateway Center Way, San Diego, California |
| Phone Number | 6199064623 |
| Fax Number | 6199064564 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1356450159 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 823 Gateway Center Way |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921024541 |
| Phone Number | 6199064623 |
| Fax Number | 6199064564 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 51943 |
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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 10-digit identifier code issued to Phillip Randolph Johnson by the Centers for Medicare & Medicaid Services?
The Phillip Randolph Johnson has been assigned the NPI (National Provider Identifier) 1356450159 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Phillip Randolph Johnson is physically located?
The Phillip Randolph Johnson is physically situated at the following address: 823 Gateway Center Way, San Diego, CA, 921024541.
What is the area of specialization for Phillip Randolph Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phillip Randolph Johnson is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356450159 to Phillip Randolph Johnson?
The Centers for Medicare & Medicaid Services assigned the 1356450159 to Phillip Randolph Johnson on 2006-08-29.
When was the Phillip Randolph Johnson's information last updated?
The Phillip Randolph Johnson's information was last updated on 2018-03-17.