Joseph G Johansen Dds Pc in Mesa - Oral And Maxillofacial Surgery
Joseph G Johansen Dds Pc - NPI 1649459926
Joseph G Johansen Dds Pc is a Oral And Maxillofacial Surgery in Mesa, Arizona. Joseph G Johansen Dds Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Joseph G Johansen Dds Pc is 1649459926. The last update date is 2007-11-02.
Joseph G Johansen Dds Pc's current location address is 3048 E Baseline Rd, Mesa, Arizona. You can contact this provider via phone number 4806328848. The mailing address for Joseph G Johansen Dds Pc is 3048 E Baseline Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Joseph G Johansen Dds Pc |
|---|---|
| Address | 3048 E Baseline Rd, Mesa, Arizona |
| Phone Number | 4806328848 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL MAXIL |
|---|---|
| Authorized Official Name | Johansen Grant Joseph |
| Credentials | DDS |
| Telephone Number | 4806321508 |
NPI Number Detail
| NPI Number | 1649459926 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 3048 E Baseline Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852047286 |
| Phone Number | 4806328848 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
| Licence No | AZ3185 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the Joseph G Johansen Dds Pc's 1649459926?
The Joseph G Johansen Dds Pc's NPI (National Provider Identifier) Number is 1649459926. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Joseph G Johansen Dds Pc is geographically located?
The Joseph G Johansen Dds Pc is physically situated at the following location: 3048 E Baseline Rd, Mesa, AZ, 852047286.
What is Joseph G Johansen Dds Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joseph G Johansen Dds Pc's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 261Qs0112X.
On what date was the 1649459926 assigned to Joseph G Johansen Dds Pc?
The Joseph G Johansen Dds Pc was issued its 1649459926 on 2007-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Joseph G Johansen Dds Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joseph G Johansen Dds Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-02.