Richard Eric Johansen in West Jordan - General Practice

Richard Eric Johansen - NPI 1215058052

Richard Eric Johansen is a General Practice in West Jordan, Utah. Richard Eric Johansen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Eric Johansen is 1215058052. The last update date is 2007-07-08.

Richard Eric Johansen's current location address is 7611 Jordan Landing Blvd, West Jordan, Utah. You can contact this provider via phone number 8015630699 and fax number 8015630680. The mailing address for Richard Eric Johansen is 7611 Jordan Landing Blvd, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Eric Johansen
Address 7611 Jordan Landing Blvd, West Jordan, Utah
Phone Number 8015630699
Fax Number 8015630680
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1215058052
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7611 Jordan Landing Blvd
City West Jordan
State Utah (UT)
Post Code 840845610
Phone Number 8015630699
Fax Number 8015630680

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4784287-9922
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 Richard Eric Johansen

What is the unique identification code assigned to Richard Eric Johansen by the Centers for Medicare & Medicaid Services?

The Richard Eric Johansen has been issued the NPI (National Provider Identifier) 1215058052. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Richard Eric Johansen is physically located?

The Richard Eric Johansen is physically situated at the following address: 7611 Jordan Landing Blvd, West Jordan, UT, 840845610.

What is Richard Eric Johansen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Richard Eric Johansen'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 Richard Eric Johansen receive its 1215058052 assignment from the Centers for Medicare & Medicaid Services?

The Richard Eric Johansen was assigned its 1215058052 by the Centers for Medicare & Medicaid Services on 2007-04-02.

When was the information regarding Richard Eric Johansen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard Eric Johansen, 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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