Richard Mathias Johnson in Superior - Dentist
Richard Mathias Johnson - NPI 1376587279
Richard Mathias Johnson is a Dentist in Superior, Wisconsin. Richard Mathias Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Mathias Johnson is 1376587279. The last update date is 2007-07-08.
Richard Mathias Johnson's current location address is 1507 Tower Ave, Superior, Wisconsin. You can contact this provider via phone number 7153945792. The mailing address for Richard Mathias Johnson is 1507 Tower Ave, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Mathias Johnson |
|---|---|
| Address | 1507 Tower Ave, Superior, Wisconsin |
| Phone Number | 7153945792 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1376587279 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1507 Tower Ave |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 54880 |
| Phone Number | 7153945792 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5000864015 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33674700 | WI | -- | |
| 90951JO | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Mathias Johnson?
The Richard Mathias Johnson has been issued the NPI (National Provider Identifier) 1376587279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Richard Mathias Johnson is geographically located?
The Richard Mathias Johnson is physically situated at the following location: 1507 Tower Ave, Superior, WI, 54880.
What is Richard Mathias Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Mathias Johnson is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376587279 to Richard Mathias Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1376587279 to Richard Mathias Johnson on 2006-06-15.
As of what date was the information pertaining to Richard Mathias Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard Mathias Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK