David Clark Johnson in Fort Collins - Periodontics

David Clark Johnson - NPI 1194788141

David Clark Johnson is a Periodontics in Fort Collins, Colorado. David Clark Johnson practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David Clark Johnson is 1194788141. The last update date is 2007-07-08.

David Clark Johnson's current location address is 1120 E Elizabeth St, Fort Collins, Colorado. You can contact this provider via phone number 9702215050 and fax number 9702215054. The mailing address for David Clark Johnson is 1120 E Elizabeth St, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name David Clark Johnson
Address 1120 E Elizabeth St, Fort Collins, Colorado
Phone Number 9702215050
Fax Number 9702215054
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1194788141
Provider Enumeration Date 2006-04-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1120 E Elizabeth St
City Fort Collins
State Colorado (CO)
Post Code 805244044
Phone Number 9702215050
Fax Number 9702215054

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 8786
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16728742 CO --

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FAQs about David Clark Johnson

What is the unique identification code assigned to David Clark Johnson by the Centers for Medicare & Medicaid Services?

The David Clark Johnson has been issued the NPI (National Provider Identifier) 1194788141. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where David Clark Johnson is located?

The David Clark Johnson is situated at the following address: 1120 E Elizabeth St, Fort Collins, CO, 805244044.

What is David Clark Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David Clark Johnson is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.

When did David Clark Johnson receive its 1194788141 assignment?

The David Clark Johnson was assigned its 1194788141 on 2006-04-10, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to David Clark Johnson most recently updated or revised?

The details related to David Clark Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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