Larry A Johnson Dds Pc in Sturbridge - Periodontics
Larry A Johnson Dds Pc - NPI 1437247889
Larry A Johnson Dds Pc is a Periodontics in Sturbridge, Massachusetts. Larry A Johnson Dds Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Larry A Johnson Dds Pc is 1437247889. The last update date is 2020-08-22.
Larry A Johnson Dds Pc's current location address is 69 Hall Road, Sturbridge, Massachusetts. You can contact this provider via phone number 5083472673 and fax number 5083475085. The mailing address for Larry A Johnson Dds Pc is 69 Hall Road, Sturbridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry A Johnson Dds Pc |
|---|---|
| Address | 69 Hall Road, Sturbridge, Massachusetts |
| Phone Number | 5083472673 |
| Fax Number | 5083475085 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PERIODENTI |
|---|---|
| Authorized Official Name | Johnson A Larry |
| Credentials | DDS |
| Telephone Number | 5083472673 |
NPI Number Detail
| NPI Number | 1437247889 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 69 Hall Road |
|---|---|
| City | Sturbridge |
| State | Massachusetts (MA) |
| Post Code | 1566 |
| Phone Number | 5083472673 |
| Fax Number | 5083475085 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 12356 |
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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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What is the Larry A Johnson Dds Pc's area of specialization and corresponding taxonomy classification?
The Larry A Johnson Dds Pc's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
What is Larry A Johnson Dds Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry A Johnson Dds Pc is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
When did the Larry A Johnson Dds Pc receive its 1437247889?
The Larry A Johnson Dds Pc was issued its 1437247889 on 2006-10-11, which is the date when the organization was assigned this unique identifier.
On what date did the Larry A Johnson Dds Pc receive its 1437247889 assignment from the Centers for Medicare & Medicaid Services?
The Larry A Johnson Dds Pc was assigned its 1437247889 by the Centers for Medicare & Medicaid Services on 2006-10-11.
As of what date were the details related to Larry A Johnson Dds Pc most recently updated or revised?
The information pertaining to Larry A Johnson Dds Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.