Jeffery Justin Johnson in Saint Louis - General Practice

Jeffery Justin Johnson - NPI 1063424687

Jeffery Justin Johnson is a General Practice in Saint Louis, Missouri. Jeffery Justin Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffery Justin Johnson is 1063424687. The last update date is 2007-07-08.

Jeffery Justin Johnson's current location address is 9775 Saint Charles Rock Rd, Saint Louis, Missouri. You can contact this provider via phone number 3144277400 and fax number 3144276491. The mailing address for Jeffery Justin Johnson is 9775 Saint Charles Rock Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffery Justin Johnson
Address 9775 Saint Charles Rock Rd, Saint Louis, Missouri
Phone Number 3144277400
Fax Number 3144276491
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1063424687
Provider Enumeration Date 2006-08-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9775 Saint Charles Rock Rd
City Saint Louis
State Missouri (MO)
Post Code 631142635
Phone Number 3144277400
Fax Number 3144276491

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12260
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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FAQs about Jeffery Justin Johnson

What is the Jeffery Justin Johnson's unique identification number?

The Jeffery Justin Johnson has been assigned the NPI (National Provider Identifier) Number 1063424687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jeffery Justin Johnson's facilities are situated?

The facilities of Jeffery Justin Johnson are physically located at the following address: 9775 Saint Charles Rock Rd, Saint Louis, MO, 631142635.

What is the area of specialization for Jeffery Justin Johnson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffery Justin Johnson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did Jeffery Justin Johnson receive its 1063424687 assignment from the Centers for Medicare & Medicaid Services?

The Jeffery Justin Johnson was assigned its 1063424687 on 2006-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jeffery Justin Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeffery Justin Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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