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PETER F JOHNSON DMD A PROFESSIONAL CORPORATION NPI 1023334711


NPI Information

NPI: 1023334711
Provider Name: PETER F JOHNSON DMD A PROFESSIONAL CORPORATION
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
5565 GROSSMONT CENTER DR
SUITE 110-1
LA MESA, CA
ZIP 91942
Phone: (619) 463-3737
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PETER F JOHNSON DMD A PROFESSIONAL CORPORATION is a prosthodontics dentist in La Mesa, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. PETER F JOHNSON DMD A PROFESSIONAL CORPORATION NPI is 1023334711. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5565 GROSSMONT CENTER DR
SUITE 110-1
LA MESA, CA
ZIP 91942-020
Phone: (619) 463-3737
Fax: (619) 463-3730

The provider's authorized official is Peter Fink Johnson .
The authorized official title is President and has the following contact phone number (619) 463-3737.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 6/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodonticsD25550CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C71227MEDICARE UPINCALIFORNIA
2D25550OTHERCALIFORNIAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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