Bruce Roy Johnson in Puyallup - Dental Public Health
Bruce Roy Johnson - NPI 1629011069
Bruce Roy Johnson is a Dental Public Health in Puyallup, Washington. Bruce Roy Johnson practices all healthcare services and medical treatments related to Dental Public Health. The NPI Number for Bruce Roy Johnson is 1629011069. The last update date is 2007-07-08.
Bruce Roy Johnson's current location address is 17308 97th Avenue Ct E, Puyallup, Washington. You can contact this provider via phone number 2538405462. The mailing address for Bruce Roy Johnson is 17308 97th Avenue Ct E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Roy Johnson |
|---|---|
| Address | 17308 97th Avenue Ct E, Puyallup, Washington |
| Phone Number | 2538405462 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629011069 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17308 97th Avenue Ct E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983759682 |
| Phone Number | 2538405462 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Public Health |
|---|---|
| Taxonomy | 1223D0001X |
| Licence No | DE00006627 |
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Definition: The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JO6014 | WA | REGENCE | |
| 91111635510 | VA | KITSAP PHYSICIAN SERVICE | |
| 149889 | WA | LABOR & INDUSTRIES |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bruce Roy Johnson by the Centers for Medicare & Medicaid Services?
The Bruce Roy Johnson has been assigned the NPI (National Provider Identifier) 1629011069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Bruce Roy Johnson?
The Bruce Roy Johnson is situated at 17308 97Th Avenue Ct E, in the city of Puyallup, state of WA, with the zip code 983759682.
What is the Bruce Roy Johnson's area of specialization and corresponding taxonomy classification?
The Bruce Roy Johnson's specialty field is Dental Public Health, and it falls under the taxonomy code 1223D0001X, which categorizes healthcare providers based on their specialties.
On what date did Bruce Roy Johnson receive its 1629011069 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Roy Johnson was assigned its 1629011069 on 2006-06-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bruce Roy Johnson most recently updated or revised?
The details related to Bruce Roy Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY