Susan Deana Johnson in Portsmouth - Oral And Maxillofacial Surgery
Susan Deana Johnson - NPI 1750353686
Susan Deana Johnson is a Oral And Maxillofacial Surgery in Portsmouth, Virginia. Susan Deana Johnson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Susan Deana Johnson is 1750353686. The last update date is 2023-01-19.
Susan Deana Johnson's current location address is 620 John Paul Jones Cir, Portsmouth, Virginia. You can contact this provider via phone number 7579535000. The mailing address for Susan Deana Johnson is 620 John Paul Jones Cir, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Deana Johnson |
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Address | 620 John Paul Jones Cir, Portsmouth, Virginia |
Phone Number | 7579535000 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1750353686 |
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Provider Enumeration Date | 2006-02-04 |
Last Updated Date | 2023-01-19 |
Provider Mailing Address Detail
Address | 620 John Paul Jones Cir |
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City | Portsmouth |
State | Virginia (VA) |
Post Code | 237082111 |
Phone Number | 7579535000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | D11173 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identification code issued to Susan Deana Johnson by the Centers for Medicare & Medicaid Services?
The Susan Deana Johnson has been assigned the NPI (National Provider Identifier) 1750353686 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Susan Deana Johnson's facilities are geographically located?
The facilities of Susan Deana Johnson are physically situated at the following location: 620 John Paul Jones Cir, Portsmouth, VA, 237082111.
What is Susan Deana Johnson's area of expertise and its corresponding taxonomy classification?
The Susan Deana Johnson's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1750353686 to Susan Deana Johnson?
The Centers for Medicare & Medicaid Services assigned the 1750353686 to Susan Deana Johnson on 2006-02-04.
As of what date were the Susan Deana Johnson's details last updated?
The information pertaining to the Susan Deana Johnson, including its address, specialty, and other details, was most recently updated on 2023-01-19.
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