Lauris Wallace Johnson in Atlanta - Orthodontics And Dentofacial Orthopedics
Lauris Wallace Johnson - NPI 1558543066
Lauris Wallace Johnson is a Orthodontics And Dentofacial Orthopedics in Atlanta, Georgia. Lauris Wallace Johnson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Lauris Wallace Johnson is 1558543066. The last update date is 2012-04-03.
Lauris Wallace Johnson's current location address is 3621 Vinings Slope Se, Atlanta, Georgia. You can contact this provider via phone number 7702357618. The mailing address for Lauris Wallace Johnson is 3621 Vinings Slope Se, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lauris Wallace Johnson |
|---|---|
| Address | 3621 Vinings Slope Se, Atlanta, Georgia |
| Phone Number | 7702357618 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1558543066 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2012-04-03 |
Provider Mailing Address Detail
| Address | 3621 Vinings Slope Se |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303394107 |
| Phone Number | 7702357618 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DN16876 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Lauris Wallace Johnson by the Centers for Medicare & Medicaid Services?
The Lauris Wallace Johnson has been assigned the NPI (National Provider Identifier) 1558543066. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lauris Wallace Johnson?
The Lauris Wallace Johnson is situated at 3621 Vinings Slope Se, in the city of Atlanta, state of GA, with the zip code 303394107.
What is the Lauris Wallace Johnson's area of specialization and corresponding taxonomy classification?
The Lauris Wallace Johnson's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Lauris Wallace Johnson receive the assignment of its 1558543066 from the Centers for Medicare & Medicaid Services?
The Lauris Wallace Johnson was issued its 1558543066 by the Centers for Medicare & Medicaid Services on 2007-11-27.
As of what date were the details related to Lauris Wallace Johnson most recently updated or revised?
The information pertaining to Lauris Wallace Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-03.