Brent David Johnson in Lincoln - Pediatric Dentistry
Brent David Johnson - NPI 1790708857
Brent David Johnson is a Pediatric Dentistry in Lincoln, Nebraska. Brent David Johnson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brent David Johnson is 1790708857. The last update date is 2013-11-05.
Brent David Johnson's current location address is 3901 Pine Lake Rd Ste 250, Lincoln, Nebraska. You can contact this provider via phone number 4024233322 and fax number 4024233329. The mailing address for Brent David Johnson is 3901 Pine Lake Rd Ste 250, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent David Johnson |
|---|---|
| Address | 3901 Pine Lake Rd Ste 250, Lincoln, Nebraska |
| Phone Number | 4024233322 |
| Fax Number | 4024233329 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790708857 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2013-11-05 |
Provider Mailing Address Detail
| Address | 3901 Pine Lake Rd Ste 250 |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685165497 |
| Phone Number | 4024233322 |
| Fax Number | 4024233329 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 6566 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brent David Johnson by the Centers for Medicare & Medicaid Services?
The Brent David Johnson has been issued the NPI (National Provider Identifier) 1790708857 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Brent David Johnson located?
The Brent David Johnson is located at 3901 Pine Lake Rd Ste 250, Lincoln, NE 685165497.
What is Brent David Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brent David Johnson is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790708857 to Brent David Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1790708857 to Brent David Johnson on 2006-07-26.
As of what date was the information pertaining to Brent David Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brent David Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-11-05.