Timothy Terell Johnson in Canton - Dentist
Timothy Terell Johnson - NPI 1316042237
Timothy Terell Johnson is a Dentist in Canton, Mississippi. Timothy Terell Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Timothy Terell Johnson is 1316042237. The last update date is 2007-07-08.
Timothy Terell Johnson's current location address is 512 W Fulton St, Canton, Mississippi. You can contact this provider via phone number 6018555885 and fax number 6018552833. The mailing address for Timothy Terell Johnson is 512 W Fulton St, Canton, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Terell Johnson |
|---|---|
| Address | 512 W Fulton St, Canton, Mississippi |
| Phone Number | 6018555885 |
| Fax Number | 6018552833 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1316042237 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 512 W Fulton St |
|---|---|
| City | Canton |
| State | Mississippi (MS) |
| Post Code | 390464254 |
| Phone Number | 6018555885 |
| Fax Number | 6018552833 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3108-99 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60251 | MS | -- |
Post Comment/ Review Below
What is the Timothy Terell Johnson's 1316042237?
The Timothy Terell Johnson's NPI (National Provider Identifier) Number is 1316042237. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Timothy Terell Johnson is geographically located?
The Timothy Terell Johnson is physically situated at the following location: 512 W Fulton St, Canton, MS, 390464254.
What is Timothy Terell Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Terell Johnson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316042237 to Timothy Terell Johnson?
The Centers for Medicare & Medicaid Services assigned the 1316042237 to Timothy Terell Johnson on 2006-09-14.
When was the information related to Timothy Terell Johnson most recently updated or refreshed?
The details pertaining to the Timothy Terell Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1962405878
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