Kenton M Johnson is a Dentist in Roseville, Minnesota. Kenton M Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenton M Johnson is 1477510055. The last update date is 2007-07-08.
Kenton M Johnson's current location address is 2690 Sivelling Ave N, Roseville, Minnesota. You can contact this provider via phone number 6516331834 and fax number 6516330995. The mailing address for Kenton M Johnson is 2690 Sivelling Ave N, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenton M Johnson |
|---|---|
| Address | 2690 Sivelling Ave N, Roseville, Minnesota |
| Phone Number | 6516331834 |
| Fax Number | 6516330995 |
| Sole Proprietor | X |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1477510055 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2690 Sivelling Ave N |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 55113 |
| Phone Number | 6516331834 |
| Fax Number | 6516330995 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D10828 |
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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 identification code issued to Kenton M Johnson by the Centers for Medicare & Medicaid Services?
The Kenton M Johnson has been assigned the NPI (National Provider Identifier) 1477510055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kenton M Johnson's facilities are geographically located?
The facilities of Kenton M Johnson are physically situated at the following location: 2690 Sivelling Ave N, Roseville, MN, 55113.
What is the Kenton M Johnson's area of specialization and corresponding taxonomy classification?
The Kenton M Johnson's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Kenton M Johnson receive its 1477510055?
The Kenton M Johnson was issued its 1477510055 on 2006-04-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kenton M Johnson most recently updated?
The details pertaining to the Kenton M Johnson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.