Sid L Johnson in Mustang - General Practice

Sid L Johnson - NPI 1184609521

Sid L Johnson is a General Practice in Mustang, Oklahoma. Sid L Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Sid L Johnson is 1184609521. The last update date is 2007-07-08.

Sid L Johnson's current location address is 210 N Mustang Rd, Mustang, Oklahoma. You can contact this provider via phone number 4052560500 and fax number 4052560414. The mailing address for Sid L Johnson is 210 N Mustang Rd, Mustang, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Sid L Johnson
Address 210 N Mustang Rd, Mustang, Oklahoma
Phone Number 4052560500
Fax Number 4052560414
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1184609521
Provider Enumeration Date 2005-12-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 210 N Mustang Rd
City Mustang
State Oklahoma (OK)
Post Code 730643911
Phone Number 4052560500
Fax Number 4052560414

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5719
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 Sid L Johnson

What is the Sid L Johnson's 1184609521?

The Sid L Johnson's NPI (National Provider Identifier) Number is 1184609521. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Sid L Johnson is physically located?

The Sid L Johnson is situated at the following address: 210 N Mustang Rd, Mustang, OK 730643911.

What is the Sid L Johnson's area of specialization and corresponding taxonomy classification?

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

When was the Sid L Johnson's 1184609521 issued?

The Sid L Johnson's 1184609521 was issued on 2005-12-08.

As of what date were the details pertaining to Sid L Johnson last refreshed?

The information related to the Sid L Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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