Johnny Lynn Black in Shreveport - General Practice
Johnny Lynn Black - NPI 1437155660
Johnny Lynn Black is a General Practice in Shreveport, Louisiana. Johnny Lynn Black practices all healthcare services and medical treatments related to General Practice. The NPI Number for Johnny Lynn Black is 1437155660. The last update date is 2007-07-08.
Johnny Lynn Black's current location address is 8535 Fern Ave, Shreveport, Louisiana. You can contact this provider via phone number 3187983376 and fax number 3187983310. The mailing address for Johnny Lynn Black is 8535 Fern Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Lynn Black |
|---|---|
| Address | 8535 Fern Ave, Shreveport, Louisiana |
| Phone Number | 3187983376 |
| Fax Number | 3187983310 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1437155660 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8535 Fern Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055656 |
| Phone Number | 3187983376 |
| Fax Number | 3187983310 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5309 |
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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 identification code assigned to Johnny Lynn Black by the Centers for Medicare & Medicaid Services?
The Johnny Lynn Black has been issued the NPI (National Provider Identifier) 1437155660. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Johnny Lynn Black's facilities are situated?
The facilities of Johnny Lynn Black are physically located at the following address: 8535 Fern Ave, Shreveport, LA, 711055656.
What is Johnny Lynn Black's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Johnny Lynn Black is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437155660 to Johnny Lynn Black?
The Centers for Medicare & Medicaid Services assigned the 1437155660 to Johnny Lynn Black on 2005-06-22.
When was the Johnny Lynn Black's information last updated?
The Johnny Lynn Black's information was last updated on 2007-07-08.