Keenon Johnson is a Endodontics in Raleigh, North Carolina. Keenon Johnson practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Keenon Johnson is 1659579647. The last update date is 2012-01-10.
Keenon Johnson's current location address is 10208 Cerny St, Raleigh, North Carolina. You can contact this provider via phone number 9197060617 and fax number 9198253361. The mailing address for Keenon Johnson is 10208 Cerny St, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keenon Johnson |
|---|---|
| Address | 10208 Cerny St, Raleigh, North Carolina |
| Phone Number | 9197060617 |
| Fax Number | 9198253361 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1659579647 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2012-01-10 |
Provider Mailing Address Detail
| Address | 10208 Cerny St |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276177884 |
| Phone Number | 9197060617 |
| Fax Number | 9198253361 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 8669 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code issued to Keenon Johnson by the Centers for Medicare & Medicaid Services?
The Keenon Johnson has been assigned the NPI (National Provider Identifier) 1659579647 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Keenon Johnson located?
The Keenon Johnson is located at 10208 Cerny St, Raleigh, NC 276177884.
What is Keenon Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keenon Johnson is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659579647 to Keenon Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1659579647 to Keenon Johnson on 2007-07-11.
As of what date was the information regarding Keenon Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keenon Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-10.