Karen Evangeline Johnson in Columbia - Periodontics
Karen Evangeline Johnson - NPI 1114921491
Karen Evangeline Johnson is a Periodontics in Columbia, South Carolina. Karen Evangeline Johnson practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Karen Evangeline Johnson is 1114921491. The last update date is 2023-10-10.
Karen Evangeline Johnson's current location address is Po Box 25731, Columbia, South Carolina. You can contact this provider via phone number 8036069011 and fax number 8036301529. The mailing address for Karen Evangeline Johnson is Po Box 25731, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Evangeline Johnson |
|---|---|
| Address | Po Box 25731, Columbia, South Carolina |
| Phone Number | 8036069011 |
| Fax Number | 8036301529 |
| Sole Proprietor | N |
| Credentials | DDS, MHS |
NPI Number Detail
| NPI Number | 1114921491 |
|---|---|
| Provider Enumeration Date | 2005-06-02 |
| Last Updated Date | 2023-10-10 |
Provider Mailing Address Detail
| Address | Po Box 25731 |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 2922457310 |
| Phone Number | 8036069011 |
| Fax Number | 8036301529 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 11759 |
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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 |
|---|---|---|---|
| Z31163 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Karen Evangeline Johnson by the Centers for Medicare & Medicaid Services?
The Karen Evangeline Johnson has been assigned the NPI (National Provider Identifier) 1114921491 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Karen Evangeline Johnson's facilities are geographically located?
The facilities of Karen Evangeline Johnson are physically situated at the following location: Po Box 25731, Columbia, SC, 2922457310.
What is the Karen Evangeline Johnson's area of specialization and corresponding taxonomy classification?
The Karen Evangeline Johnson's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When did the Karen Evangeline Johnson receive its 1114921491?
The Karen Evangeline Johnson was issued its 1114921491 on 2005-06-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Karen Evangeline Johnson most recently updated or revised?
The information pertaining to Karen Evangeline Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-10.
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