Gary Robert Johnson in Berkeley - General Practice
Gary Robert Johnson - NPI 1649294927
Gary Robert Johnson is a General Practice in Berkeley, Illinois. Gary Robert Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Robert Johnson is 1649294927. The last update date is 2015-10-26.
Gary Robert Johnson's current location address is 5646 Saint Charles Rd, Berkeley, Illinois. You can contact this provider via phone number 7085447474. The mailing address for Gary Robert Johnson is 5646 Saint Charles Rd, Berkeley, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Robert Johnson |
|---|---|
| Address | 5646 Saint Charles Rd, Berkeley, Illinois |
| Phone Number | 7085447474 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1649294927 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2015-10-26 |
Provider Mailing Address Detail
| Address | 5646 Saint Charles Rd |
|---|---|
| City | Berkeley |
| State | Illinois (IL) |
| Post Code | 601631148 |
| Phone Number | 7085447474 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19017208 |
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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. |
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What is the unique provider identifier assigned to Gary Robert Johnson?
The Gary Robert Johnson has been issued the NPI (National Provider Identifier) 1649294927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gary Robert Johnson's facilities are situated?
The facilities of Gary Robert Johnson are physically located at the following address: 5646 Saint Charles Rd, Berkeley, IL, 601631148.
What is Gary Robert Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Robert Johnson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When was the Gary Robert Johnson's 1649294927 issued?
The Gary Robert Johnson's 1649294927 was issued on 2006-07-27.
When was the Gary Robert Johnson's information last updated?
The Gary Robert Johnson's information was last updated on 2015-10-26.