Stacy Duane Johnson in Greenwood - General Practice
Stacy Duane Johnson - NPI 1568511582
Stacy Duane Johnson is a General Practice in Greenwood, Indiana. Stacy Duane Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stacy Duane Johnson is 1568511582. The last update date is 2007-08-28.
Stacy Duane Johnson's current location address is 3056 W Stones Crossing Rd, Greenwood, Indiana. You can contact this provider via phone number 3175357141 and fax number 3175357142. The mailing address for Stacy Duane Johnson is 3056 W Stones Crossing Rd, Greenwood, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Duane Johnson |
|---|---|
| Address | 3056 W Stones Crossing Rd, Greenwood, Indiana |
| Phone Number | 3175357141 |
| Fax Number | 3175357142 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1568511582 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 3056 W Stones Crossing Rd |
|---|---|
| City | Greenwood |
| State | Indiana (IN) |
| Post Code | 46143 |
| Phone Number | 3175357141 |
| Fax Number | 3175357142 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12009239 |
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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 Stacy Duane Johnson's 1568511582?
The Stacy Duane Johnson's NPI (National Provider Identifier) Number is 1568511582. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stacy Duane Johnson is physically located?
The Stacy Duane Johnson is physically situated at the following address: 3056 W Stones Crossing Rd, Greenwood, IN, 46143.
What is Stacy Duane Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacy Duane Johnson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568511582 to Stacy Duane Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1568511582 to Stacy Duane Johnson on 2007-01-09.
When was the information regarding Stacy Duane Johnson most recently updated?
The details pertaining to the Stacy Duane Johnson, including its address, specialty, and other relevant information, were last refreshed on 2007-08-28.
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