Kelly Wade Johnson in Lansing - General Practice
Kelly Wade Johnson - NPI 1467431932
Kelly Wade Johnson is a General Practice in Lansing, Michigan. Kelly Wade Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly Wade Johnson is 1467431932. The last update date is 2015-09-10.
Kelly Wade Johnson's current location address is 5303 S Cedar St, Lansing, Michigan. You can contact this provider via phone number 5172724150. The mailing address for Kelly Wade Johnson is 5303 S Cedar St, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Wade Johnson |
|---|---|
| Address | 5303 S Cedar St, Lansing, Michigan |
| Phone Number | 5172724150 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1467431932 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2015-09-10 |
Provider Mailing Address Detail
| Address | 5303 S Cedar St |
|---|---|
| City | Lansing |
| State | Michigan (MI) |
| Post Code | 489113800 |
| Phone Number | 5172724150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2901018145 |
|
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 |
|---|---|---|---|
| 1385419 | MI | UNITED CONCORDIA | |
| 161661900 | MI | DELTA DENTAL | |
| 161661900 | MI | BLUE CROSS BLUE SHIELD | |
| 4530810 | MI | -- |
Post Comment/ Review Below
What is the Kelly Wade Johnson's unique identification number?
The Kelly Wade Johnson has been assigned the NPI (National Provider Identifier) Number 1467431932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kelly Wade Johnson?
The Kelly Wade Johnson is situated at 5303 S Cedar St, in the city of Lansing, state of MI, with the zip code 489113800.
What is Kelly Wade Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Wade Johnson is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date was the 1467431932 assigned to Kelly Wade Johnson?
The Kelly Wade Johnson was issued its 1467431932 on 2006-01-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kelly Wade Johnson's details last updated?
The information pertaining to the Kelly Wade Johnson, including its address, specialty, and other details, was most recently updated on 2015-09-10.
NPI Number: 1104829308
Address: 1009 North State Of Franklin Access Road, Johnson City, TN