Douglas Scott Johansen in Hartford - Dentist

Douglas Scott Johansen - NPI 1366571200

Douglas Scott Johansen is a Dentist in Hartford, Michigan. Douglas Scott Johansen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas Scott Johansen is 1366571200. The last update date is 2007-07-08.

Douglas Scott Johansen's current location address is 57418 County Road 681, Hartford, Michigan. You can contact this provider via phone number 2696213143. The mailing address for Douglas Scott Johansen is 57418 County Road 681, Hartford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Scott Johansen
Address 57418 County Road 681, Hartford, Michigan
Phone Number 2696213143
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1366571200
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 57418 County Road 681
City Hartford
State Michigan (MI)
Post Code 490579421
Phone Number 2696213143
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2901018068
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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FAQs about Douglas Scott Johansen

What is the unique provider identifier assigned to Douglas Scott Johansen?

The Douglas Scott Johansen has been issued the NPI (National Provider Identifier) 1366571200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Douglas Scott Johansen is physically located?

The Douglas Scott Johansen is physically situated at the following address: 57418 County Road 681, Hartford, MI, 490579421.

What is Douglas Scott Johansen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Douglas Scott Johansen's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did Douglas Scott Johansen receive its 1366571200 assignment from the Centers for Medicare & Medicaid Services?

The Douglas Scott Johansen was assigned its 1366571200 on 2007-03-05, 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 Douglas Scott Johansen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Douglas Scott Johansen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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