Gregory P Johnson in Irvine - Orthodontics And Dentofacial Orthopedics
Gregory P Johnson - NPI 1740306794
Gregory P Johnson is a Orthodontics And Dentofacial Orthopedics in Irvine, California. Gregory P Johnson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gregory P Johnson is 1740306794. The last update date is 2011-12-30.
Gregory P Johnson's current location address is 5394 Walnut Ave, Irvine, California. You can contact this provider via phone number 9495525800 and fax number 9495528905. The mailing address for Gregory P Johnson is 5394 Walnut Ave, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory P Johnson |
|---|---|
| Address | 5394 Walnut Ave, Irvine, California |
| Phone Number | 9495525800 |
| Fax Number | 9495528905 |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1740306794 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2011-12-30 |
Provider Mailing Address Detail
| Address | 5394 Walnut Ave |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926042505 |
| Phone Number | 9495525800 |
| Fax Number | 9495528905 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D22813 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CGP171091 | CA | CALIFORNIA CHILDREN'S SERVICES | |
| 1790054344 | CA | DENTICAL | |
| B22813 | CA | DENTICAL | |
| CGP097860 | CA | CALIFORNIA CHILDREN'S SERVICES |
Post Comment/ Review Below
What is the Gregory P Johnson's 1740306794?
The Gregory P Johnson's NPI (National Provider Identifier) Number is 1740306794. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gregory P Johnson?
The Gregory P Johnson is situated at 5394 Walnut Ave, in the city of Irvine, state of CA, with the zip code 926042505.
What is Gregory P Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory P Johnson is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.
On what date did the Gregory P Johnson receive the assignment of its 1740306794 from the Centers for Medicare & Medicaid Services?
The Gregory P Johnson was issued its 1740306794 by the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date was the information pertaining to Gregory P Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory P Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-30.