John A Johnson in Craigmont - General Practice

John A Johnson - NPI 1609820521

John A Johnson is a General Practice in Craigmont, Idaho. John A Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for John A Johnson is 1609820521. The last update date is 2007-07-08.

John A Johnson's current location address is 420 N. Division St., Craigmont, Idaho. You can contact this provider via phone number 2089245830 and fax number 2089247516. The mailing address for John A Johnson is 420 N. Division St., Craigmont, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name John A Johnson
Address 420 N. Division St., Craigmont, Idaho
Phone Number 2089245830
Fax Number 2089247516
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1609820521
Provider Enumeration Date 2006-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 420 N. Division St.
City Craigmont
State Idaho (ID)
Post Code 83523
Phone Number 2089245830
Fax Number 2089247516

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D1388
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17744400 ID --
836142 ID UNITED CONCORDIA TDP
1000932 ID REGENCE BLUE SHIELD
6201-8 ID BLUE CROSS

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FAQs about John A Johnson

What is the John A Johnson's 1609820521?

The John A Johnson's NPI (National Provider Identifier) Number is 1609820521. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John A Johnson is located?

The John A Johnson is situated at the following address: 420 N. Division St., Craigmont, ID, 83523.

What is John A Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John A Johnson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the John A Johnson receive its 1609820521 assignment from the Centers for Medicare & Medicaid Services?

The John A Johnson was assigned its 1609820521 by the Centers for Medicare & Medicaid Services on 2006-05-22.

As of what date were the John A Johnson's details last updated?

The information pertaining to the John A Johnson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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