Johnson Creek Dental in Johnson Creek - General Practice
Johnson Creek Dental - NPI 1225124571
Johnson Creek Dental is a General Practice in Johnson Creek, Wisconsin. Johnson Creek Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Johnson Creek Dental is 1225124571. The last update date is 2020-08-22.
Johnson Creek Dental's current location address is 540 Village Walk Lane, Johnson Creek, Wisconsin. You can contact this provider via phone number 9206992554 and fax number 9206993059. The mailing address for Johnson Creek Dental is 540 Village Walk Lane, Johnson Creek, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Johnson Creek Dental |
|---|---|
| Address | 540 Village Walk Lane, Johnson Creek, Wisconsin |
| Phone Number | 9206992554 |
| Fax Number | 9206993059 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Melk J Johathon |
| Credentials | DDS |
| Telephone Number | 9206902554 |
NPI Number Detail
| NPI Number | 1225124571 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 540 Village Walk Lane |
|---|---|
| City | Johnson Creek |
| State | Wisconsin (WI) |
| Post Code | 53038 |
| Phone Number | 9206992554 |
| Fax Number | 9206993059 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 identification code assigned to Johnson Creek Dental by the Centers for Medicare & Medicaid Services?
The Johnson Creek Dental has been issued the NPI (National Provider Identifier) 1225124571. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Johnson Creek Dental is geographically located?
The Johnson Creek Dental is physically situated at the following location: 540 Village Walk Lane, Johnson Creek, WI, 53038.
What is the Johnson Creek Dental's area of specialization and corresponding taxonomy classification?
The Johnson Creek Dental's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Johnson Creek Dental receive the assignment of its 1225124571 from the Centers for Medicare & Medicaid Services?
The Johnson Creek Dental was issued its 1225124571 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date was the information regarding Johnson Creek Dental, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Johnson Creek Dental, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1356344279
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