Mary Carol Johnson in Des Moines - Dentist
Mary Carol Johnson - NPI 1164546305
Mary Carol Johnson is a Dentist in Des Moines, Iowa. Mary Carol Johnson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mary Carol Johnson is 1164546305. The last update date is 2009-09-29.
Mary Carol Johnson's current location address is 711 High St, Des Moines, Iowa. You can contact this provider via phone number 5153622676 and fax number 5156136452. The mailing address for Mary Carol Johnson is 711 High St, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Carol Johnson |
|---|---|
| Address | 711 High St, Des Moines, Iowa |
| Phone Number | 5153622676 |
| Fax Number | 5156136452 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164546305 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2009-09-29 |
Provider Mailing Address Detail
| Address | 711 High St |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503920001 |
| Phone Number | 5153622676 |
| Fax Number | 5156136452 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6856 |
|
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 |
|---|---|---|---|
| 209320 | IA | -- | |
| 20932 | IA | DELTA DENTAL PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Carol Johnson by the Centers for Medicare & Medicaid Services?
The Mary Carol Johnson has been assigned the NPI (National Provider Identifier) 1164546305 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 Mary Carol Johnson's facilities are geographically located?
The facilities of Mary Carol Johnson are physically situated at the following location: 711 High St, Des Moines, IA, 503920001.
What is Mary Carol Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Carol Johnson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164546305 to Mary Carol Johnson?
The Mary Carol Johnson received its 1164546305 assignment from the Centers for Medicare & Medicaid Services on 2007-03-16.
When was the information related to Mary Carol Johnson most recently updated or refreshed?
The details pertaining to the Mary Carol Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-29.