Amber Marissa Johnson in Lac Du Flambeau - Dental Hygienist
Amber Marissa Johnson - NPI 1912169855
Amber Marissa Johnson is a Dental Hygienist in Lac Du Flambeau, Wisconsin. Amber Marissa Johnson practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Amber Marissa Johnson is 1912169855. The last update date is 2008-07-01.
Amber Marissa Johnson's current location address is 450 Old Abe Rd, Lac Du Flambeau, Wisconsin. You can contact this provider via phone number 7155884280 and fax number 7155882269. The mailing address for Amber Marissa Johnson is 450 Old Abe Rd, Lac Du Flambeau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amber Marissa Johnson |
|---|---|
| Address | 450 Old Abe Rd, Lac Du Flambeau, Wisconsin |
| Phone Number | 7155884280 |
| Fax Number | 7155882269 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1912169855 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 450 Old Abe Rd |
|---|---|
| City | Lac Du Flambeau |
| State | Wisconsin (WI) |
| Post Code | 545389682 |
| Phone Number | 7155884280 |
| Fax Number | 7155882269 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 10210 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33822000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Amber Marissa Johnson by the Centers for Medicare & Medicaid Services?
The Amber Marissa Johnson has been issued the NPI (National Provider Identifier) 1912169855, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Amber Marissa Johnson's facilities are geographically located?
The facilities of Amber Marissa Johnson are physically situated at the following location: 450 Old Abe Rd, Lac Du Flambeau, WI, 545389682.
What is the Amber Marissa Johnson's area of specialization and corresponding taxonomy classification?
The Amber Marissa Johnson's specialty field is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1912169855 assigned to Amber Marissa Johnson?
The Amber Marissa Johnson was issued its 1912169855 on 2008-07-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Amber Marissa Johnson's information last updated?
The Amber Marissa Johnson's information was last updated on 2008-07-01.