Euphemia Laree Johnson in Raleigh - Pediatric Dentistry
Euphemia Laree Johnson - NPI 1316915861
Euphemia Laree Johnson is a Pediatric Dentistry in Raleigh, North Carolina. Euphemia Laree Johnson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Euphemia Laree Johnson is 1316915861. The last update date is 2007-07-08.
Euphemia Laree Johnson's current location address is 2800 Wakefield Pines Dr, Raleigh, North Carolina. You can contact this provider via phone number 9195700180 and fax number 9195700280. The mailing address for Euphemia Laree Johnson is 2800 Wakefield Pines Dr, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Euphemia Laree Johnson |
|---|---|
| Address | 2800 Wakefield Pines Dr, Raleigh, North Carolina |
| Phone Number | 9195700180 |
| Fax Number | 9195700280 |
| Sole Proprietor | X |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1316915861 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2800 Wakefield Pines Dr |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276148998 |
| Phone Number | 9195700180 |
| Fax Number | 9195700280 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 6683 |
|
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 |
|---|---|---|---|
| 90099 | NC | BLUE CROSS BLUE SHIELD | |
| 8990099 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Euphemia Laree Johnson by the Centers for Medicare & Medicaid Services?
The Euphemia Laree Johnson has been issued the NPI (National Provider Identifier) 1316915861 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Euphemia Laree Johnson is geographically located?
The Euphemia Laree Johnson is physically situated at the following location: 2800 Wakefield Pines Dr, Raleigh, NC, 276148998.
What is the Euphemia Laree Johnson's specialty and taxonomy code?
The Euphemia Laree Johnson's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316915861 to Euphemia Laree Johnson?
The Centers for Medicare & Medicaid Services assigned the 1316915861 to Euphemia Laree Johnson on 2006-03-10.
As of what date were the details pertaining to Euphemia Laree Johnson last refreshed?
The information related to the Euphemia Laree Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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