Eddie Prince Johnson in Augusta - Dentist
Eddie Prince Johnson - NPI 1386762987
Eddie Prince Johnson is a Dentist in Augusta, Georgia. Eddie Prince Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eddie Prince Johnson is 1386762987. The last update date is 2011-11-10.
Eddie Prince Johnson's current location address is 3400 Heather Dr, Augusta, Georgia. You can contact this provider via phone number 7077365421. The mailing address for Eddie Prince Johnson is 3400 Heather Dr, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie Prince Johnson |
|---|---|
| Address | 3400 Heather Dr, Augusta, Georgia |
| Phone Number | 7077365421 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1386762987 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2011-11-10 |
Provider Mailing Address Detail
| Address | 3400 Heather Dr |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309092795 |
| Phone Number | 7077365421 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9685 |
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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 |
|---|---|---|---|
| 00254526C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eddie Prince Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Eddie Prince Johnson has been assigned the NPI (National Provider Identifier) 1386762987. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Eddie Prince Johnson is geographically located?
The Eddie Prince Johnson is physically situated at the following location: 3400 Heather Dr, Augusta, GA, 309092795.
What is Eddie Prince Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eddie Prince Johnson is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did Eddie Prince Johnson receive its 1386762987 assignment?
The Eddie Prince Johnson was assigned its 1386762987 on 2007-03-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Eddie Prince Johnson most recently updated or revised?
The information pertaining to Eddie Prince Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-10.