Brent Johansen in Blanding - General Practice

Brent Johansen - NPI 1225189723

Brent Johansen is a General Practice in Blanding, Utah. Brent Johansen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brent Johansen is 1225189723. The last update date is 2007-07-08.

Brent Johansen's current location address is 212 S 200 E, Blanding, Utah. You can contact this provider via phone number 4356783440. The mailing address for Brent Johansen is 212 S 200 E, Blanding, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Johansen
Address 212 S 200 E, Blanding, Utah
Phone Number 4356783440
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1225189723
Provider Enumeration Date 2007-01-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 212 S 200 E
City Blanding
State Utah (UT)
Post Code 845112926
Phone Number 4356783440
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 139612-9922
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 Brent Johansen

What is the unique identifier code issued to Brent Johansen by the Centers for Medicare & Medicaid Services (CMS)?

The Brent Johansen has been assigned the NPI (National Provider Identifier) 1225189723. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Brent Johansen?

The Brent Johansen is situated at 212 S 200 E, in the city of Blanding, state of UT, with the zip code 845112926.

What is the Brent Johansen's area of specialization and corresponding taxonomy classification?

The Brent Johansen'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 Brent Johansen's 1225189723 issued?

The Brent Johansen's 1225189723 was issued on 2007-01-13.

As of what date was the information regarding Brent Johansen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Brent Johansen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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