Brian L Johnson Dmd Pc in West Jordan - Dentist

Brian L Johnson Dmd Pc - NPI 1477664548

Brian L Johnson Dmd Pc is a Dentist in West Jordan, Utah. Brian L Johnson Dmd Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brian L Johnson Dmd Pc is 1477664548. The last update date is 2008-06-20.

Brian L Johnson Dmd Pc's current location address is 7478 S Campus View Dr, West Jordan, Utah. You can contact this provider via phone number 8012425112 and fax number 8012425114. The mailing address for Brian L Johnson Dmd Pc is 7478 S Campus View Dr, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brian L Johnson Dmd Pc
Address 7478 S Campus View Dr, West Jordan, Utah
Phone Number 8012425112
Fax Number 8012425114
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Johnson Lafe Brian
Credentials DMD
Telephone Number 8012425112

NPI Number Detail

NPI Number 1477664548
Provider Enumeration Date 2006-08-31
Last Updated Date 2008-06-20

Provider Mailing Address Detail

Address 7478 S Campus View Dr
City West Jordan
State Utah (UT)
Post Code 84084
Phone Number 8012425112
Fax Number 8012425114

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 373716
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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FAQs about Brian L Johnson Dmd Pc

What is the unique identifier code issued to Brian L Johnson Dmd Pc by the Centers for Medicare & Medicaid Services?

The Brian L Johnson Dmd Pc has been assigned the NPI (National Provider Identifier) 1477664548. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Brian L Johnson Dmd Pc is physically located?

The Brian L Johnson Dmd Pc is physically situated at the following address: 7478 S Campus View Dr, West Jordan, UT, 84084.

What is Brian L Johnson Dmd Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Brian L Johnson Dmd Pc's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1477664548 to Brian L Johnson Dmd Pc?

The Brian L Johnson Dmd Pc received its 1477664548 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.

As of what date were the details related to Brian L Johnson Dmd Pc most recently updated or revised?

The information pertaining to Brian L Johnson Dmd Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-20.

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