J Terry Johnson in Council Bluffs - General Practice

J Terry Johnson - NPI 1639143316

J Terry Johnson is a General Practice in Council Bluffs, Iowa. J Terry Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for J Terry Johnson is 1639143316. The last update date is 2007-07-09.

J Terry Johnson's current location address is 427 E Kanesville Blvd, Council Bluffs, Iowa. You can contact this provider via phone number 7123281885. The mailing address for J Terry Johnson is 427 E Kanesville Blvd, Council Bluffs, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name J Terry Johnson
Address 427 E Kanesville Blvd, Council Bluffs, Iowa
Phone Number 7123281885
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1639143316
Provider Enumeration Date 2006-02-17
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 427 E Kanesville Blvd
City Council Bluffs
State Iowa (IA)
Post Code 515034403
Phone Number 7123281885
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5907
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
119693 IA --

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FAQs about J Terry Johnson

What is the unique 10-digit identification code issued to J Terry Johnson by the Centers for Medicare & Medicaid Services?

The J Terry Johnson has been assigned the NPI (National Provider Identifier) 1639143316 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where J Terry Johnson is located?

The J Terry Johnson is situated at the following address: 427 E Kanesville Blvd, Council Bluffs, IA, 515034403.

What is the J Terry Johnson's area of specialization and corresponding taxonomy classification?

The J Terry Johnson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When did J Terry Johnson receive its 1639143316 assignment?

The J Terry Johnson was assigned its 1639143316 on 2006-02-17, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to J Terry Johnson most recently updated or revised?

The information pertaining to J Terry Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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