Patrick Todd Johnson in Tampa - Periodontics
Patrick Todd Johnson - NPI 1710033774
Patrick Todd Johnson is a Periodontics in Tampa, Florida. Patrick Todd Johnson practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Patrick Todd Johnson is 1710033774. The last update date is 2007-07-08.
Patrick Todd Johnson's current location address is 5111 Ehrlich Rd, Tampa, Florida. You can contact this provider via phone number 8132641258 and fax number 8132652083. The mailing address for Patrick Todd Johnson is 5111 Ehrlich Rd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick Todd Johnson |
|---|---|
| Address | 5111 Ehrlich Rd, Tampa, Florida |
| Phone Number | 8132641258 |
| Fax Number | 8132652083 |
| Sole Proprietor | Y |
| Credentials | D.M.D., P. |
NPI Number Detail
| NPI Number | 1710033774 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5111 Ehrlich Rd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336242075 |
| Phone Number | 8132641258 |
| Fax Number | 8132652083 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN13415 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN13415 | FL | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Patrick Todd Johnson by the Centers for Medicare & Medicaid Services?
The Patrick Todd Johnson has been issued the NPI (National Provider Identifier) 1710033774. 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 location address where Patrick Todd Johnson's facilities are situated?
The facilities of Patrick Todd Johnson are physically located at the following address: 5111 Ehrlich Rd, Tampa, FL, 336242075.
What is Patrick Todd Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patrick Todd Johnson is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710033774 to Patrick Todd Johnson?
The Centers for Medicare & Medicaid Services assigned the 1710033774 to Patrick Todd Johnson on 2007-01-25.
When was the information related to Patrick Todd Johnson most recently updated or refreshed?
The details pertaining to the Patrick Todd Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.