Dale Alan Johnson is a Dentist in Freeport, Illinois. Dale Alan Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dale Alan Johnson is 1750474706. The last update date is 2007-07-08.
Dale Alan Johnson's current location address is 1717 W Church St, Freeport, Illinois. You can contact this provider via phone number 8152339777 and fax number 8152321312. The mailing address for Dale Alan Johnson is 1717 W Church St, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Alan Johnson |
|---|---|
| Address | 1717 W Church St, Freeport, Illinois |
| Phone Number | 8152339777 |
| Fax Number | 8152321312 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1750474706 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1717 W Church St |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610324695 |
| Phone Number | 8152339777 |
| Fax Number | 8152321312 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 Dale Alan Johnson by the Centers for Medicare & Medicaid Services?
The Dale Alan Johnson has been assigned the NPI (National Provider Identifier) 1750474706. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dale Alan Johnson located?
The Dale Alan Johnson is located at 1717 W Church St, Freeport, IL 610324695.
What is Dale Alan Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dale Alan Johnson is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Dale Alan Johnson receive its 1750474706 assignment from the Centers for Medicare & Medicaid Services?
The Dale Alan Johnson was assigned its 1750474706 by the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the Dale Alan Johnson's information last updated?
The Dale Alan Johnson's information was last updated on 2007-07-08.
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