Gary R. Johnson, D.D.S., P.C. in Berkeley - Dental
Gary R. Johnson, D.D.S., P.C. - NPI 1366466930
Gary R. Johnson, D.D.S., P.C. is a Dental in Berkeley, Illinois. Gary R. Johnson, D.D.S., P.C. practices all healthcare services and medical treatments related to Dental. The NPI Number for Gary R. Johnson, D.D.S., P.C. is 1366466930. The last update date is 2015-10-26.
Gary R. Johnson, D.D.S., P.C.'s current location address is 5646 Saint Charles Rd, Berkeley, Illinois. You can contact this provider via phone number 7085447474. The mailing address for Gary R. Johnson, D.D.S., P.C. is 5646 Saint Charles Rd, Berkeley, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gary R. Johnson, D.D.S., P.C. |
|---|---|
| Address | 5646 Saint Charles Rd, Berkeley, Illinois |
| Phone Number | 7085447474 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson Robert Gary |
| Credentials | D.D.S. |
| Telephone Number | 7085447474 |
NPI Number Detail
| NPI Number | 1366466930 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2015-10-26 |
Provider Mailing Address Detail
| Address | 5646 Saint Charles Rd |
|---|---|
| City | Berkeley |
| State | Illinois (IL) |
| Post Code | 601631148 |
| Phone Number | 7085447474 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary R. Johnson, D.D.S., P.C. by the Centers for Medicare & Medicaid Services?
The Gary R. Johnson, D.D.S., P.C. has been issued the NPI (National Provider Identifier) 1366466930 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Gary R. Johnson, D.D.S., P.C.'s facilities are geographically located?
The facilities of Gary R. Johnson, D.D.S., P.C. are physically situated at the following location: 5646 Saint Charles Rd, Berkeley, IL, 601631148.
What is Gary R. Johnson, D.D.S., P.C.'s area of expertise and its corresponding taxonomy classification?
The Gary R. Johnson, D.D.S., P.C.'s field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
On what date did Gary R. Johnson, D.D.S., P.C. receive its 1366466930 assignment from the Centers for Medicare & Medicaid Services?
The Gary R. Johnson, D.D.S., P.C. was assigned its 1366466930 on 2006-07-27, 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 Gary R. Johnson, D.D.S., P.C. most recently updated or revised?
The details related to Gary R. Johnson, D.D.S., P.C., including its address, specialty, and other relevant information, were last updated or revised on 2015-10-26.