Larry Johnson Ellison in Omaha - Endodontics
Larry Johnson Ellison - NPI 1235236217
Larry Johnson Ellison is a Endodontics in Omaha, Nebraska. Larry Johnson Ellison practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Larry Johnson Ellison is 1235236217. The last update date is 2008-08-28.
Larry Johnson Ellison's current location address is 615 N 90th St, Omaha, Nebraska. You can contact this provider via phone number 4023935050 and fax number 4023933401. The mailing address for Larry Johnson Ellison is 615 N 90th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Johnson Ellison |
|---|---|
| Address | 615 N 90th St, Omaha, Nebraska |
| Phone Number | 4023935050 |
| Fax Number | 4023933401 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1235236217 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2008-08-28 |
Provider Mailing Address Detail
| Address | 615 N 90th St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681142821 |
| Phone Number | 4023935050 |
| Fax Number | 4023933401 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 5949 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4989 | NE | BLUE CROSS AND BLUE SHILED |
Post Comment/ Review Below
What is the unique identifier code issued to Larry Johnson Ellison by the Centers for Medicare & Medicaid Services?
The Larry Johnson Ellison has been assigned the NPI (National Provider Identifier) 1235236217. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry Johnson Ellison?
The Larry Johnson Ellison is situated at 615 N 90Th St, in the city of Omaha, state of NE, with the zip code 681142821.
What is Larry Johnson Ellison's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry Johnson Ellison is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.
On what date did Larry Johnson Ellison receive its 1235236217 assignment from the Centers for Medicare & Medicaid Services?
The Larry Johnson Ellison was assigned its 1235236217 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Larry Johnson Ellison last refreshed?
The information related to the Larry Johnson Ellison, including its address, specialty, and other relevant details, was last updated on 2008-08-28.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH