Jodi Brooke Johnson in Saint Louis - General Practice
Jodi Brooke Johnson - NPI 1124031695
Jodi Brooke Johnson is a General Practice in Saint Louis, Missouri. Jodi Brooke Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jodi Brooke Johnson is 1124031695. The last update date is 2014-02-18.
Jodi Brooke Johnson's current location address is 9775 Saint Charles Rock Rd, Saint Louis, Missouri. You can contact this provider via phone number 3144277400. The mailing address for Jodi Brooke Johnson is 9775 Saint Charles Rock Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Brooke Johnson |
|---|---|
| Address | 9775 Saint Charles Rock Rd, Saint Louis, Missouri |
| Phone Number | 3144277400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1124031695 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2014-02-18 |
Provider Mailing Address Detail
| Address | 9775 Saint Charles Rock Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631142635 |
| Phone Number | 3144277400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2005017506 |
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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 identifier code issued to Jodi Brooke Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Jodi Brooke Johnson has been assigned the NPI (National Provider Identifier) 1124031695. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jodi Brooke Johnson?
The Jodi Brooke Johnson is physically situated at 9775 Saint Charles Rock Rd, in the city of Saint Louis, state of MO, with the postal code 631142635.
What is Jodi Brooke Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jodi Brooke Johnson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124031695 to Jodi Brooke Johnson?
The Jodi Brooke Johnson received its 1124031695 assignment from the Centers for Medicare & Medicaid Services on 2006-08-14.
When was the information regarding Jodi Brooke Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jodi Brooke Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-18.