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DR. ANDREW C JOHNSON DDS MDS CDT NPI 1508296005


NPI Information

NPI: 1508296005
Provider Name: DR. ANDREW C JOHNSON, DDS, MDS, CDT
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

PECOS Registration: Yes

Address:
3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR
ZIP 72758
Phone: (479) 755-3000
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DR. Andrew C Johnson, DDS, MDS, CDT is a prosthodontics dentist in Rogers, AR. 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. DR. Andrew C Johnson, DDS, MDS, CDT NPI is 1508296005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3333 S PINNACLE HILLS PKWY STE 140
ROGERS, AR
ZIP 72758-953
Phone: (479) 755-3000
Fax: (479) 616-1914

The NPI 1508296005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/19/2013 and was last updated on 5/17/2021.


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
11223P0700XDentistProsthodontics3960ARKANSASYes

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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