Marlin S Johnson in Thomasville - Pediatric Dentistry

Marlin S Johnson - NPI 1235244906

Marlin S Johnson is a Pediatric Dentistry in Thomasville, Georgia. Marlin S Johnson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Marlin S Johnson is 1235244906. The last update date is 2016-10-18.

Marlin S Johnson's current location address is 215 Constitution Dr, Thomasville, Georgia. You can contact this provider via phone number 2292262386 and fax number 2292269838. The mailing address for Marlin S Johnson is 215 Constitution Dr, Thomasville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Marlin S Johnson
Address 215 Constitution Dr, Thomasville, Georgia
Phone Number 2292262386
Fax Number 2292269838
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1235244906
Provider Enumeration Date 2006-08-20
Last Updated Date 2016-10-18

Provider Mailing Address Detail

Address 215 Constitution Dr
City Thomasville
State Georgia (GA)
Post Code 317574901
Phone Number 2292262386
Fax Number 2292269838

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 13177
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
197090698B GA --
197090698C GA --
197090698A GA --

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FAQs about Marlin S Johnson

What is the unique 10-digit identification code issued to Marlin S Johnson by the Centers for Medicare & Medicaid Services?

The Marlin S Johnson has been assigned the NPI (National Provider Identifier) 1235244906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Marlin S Johnson is geographically located?

The Marlin S Johnson is physically situated at the following location: 215 Constitution Dr, Thomasville, GA, 317574901.

What is Marlin S Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Marlin S Johnson's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1235244906 to Marlin S Johnson?

The Centers for Medicare & Medicaid Services assigned the 1235244906 to Marlin S Johnson on 2006-08-20.

As of what date were the details related to Marlin S Johnson most recently updated or revised?

The information pertaining to Marlin S Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-18.

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