Johnsonburg Dental Center in Johnsonburg - Dental

Johnsonburg Dental Center - NPI 1164514683

Johnsonburg Dental Center is a Dental in Johnsonburg, Pennsylvania. Johnsonburg Dental Center practices all healthcare services and medical treatments related to Dental. The NPI Number for Johnsonburg Dental Center is 1164514683. The last update date is 2019-12-16.

Johnsonburg Dental Center's current location address is 81 Clarion Rd, Johnsonburg, Pennsylvania. You can contact this provider via phone number 8149655444 and fax number 8149652238. The mailing address for Johnsonburg Dental Center is 81 Clarion Rd, Johnsonburg, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Johnsonburg Dental Center
Address 81 Clarion Rd, Johnsonburg, Pennsylvania
Phone Number 8149655444
Fax Number 8149652238
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Bennardi M Kristie
Telephone Number 8144861115

NPI Number Detail

NPI Number 1164514683
Provider Enumeration Date 2006-09-29
Last Updated Date 2019-12-16

Provider Mailing Address Detail

Address 81 Clarion Rd
City Johnsonburg
State Pennsylvania (PA)
Post Code 158451656
Phone Number 8149655444
Fax Number 8149652238

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Johnsonburg Dental Center

What is the Johnsonburg Dental Center's 1164514683?

The Johnsonburg Dental Center's NPI (National Provider Identifier) Number is 1164514683. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Johnsonburg Dental Center is physically located?

The Johnsonburg Dental Center is physically situated at the following address: 81 Clarion Rd, Johnsonburg, PA, 158451656.

What is Johnsonburg Dental Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Johnsonburg Dental Center is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.

On what date did the Johnsonburg Dental Center receive the assignment of its 1164514683 from the Centers for Medicare & Medicaid Services?

The Johnsonburg Dental Center was issued its 1164514683 by the Centers for Medicare & Medicaid Services on 2006-09-29.

When was the information related to Johnsonburg Dental Center most recently updated or refreshed?

The details pertaining to the Johnsonburg Dental Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-12-16.

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