WILLIAM DEVERE JOHNSON, DDS - NPI NUMBER 1518306687

Summary

Provider Name: WILLIAM DEVERE JOHNSON, DDS

NPI Number: 1518306687

Clasification: Dentist (122300000X)

Address:
2811 E COURT ST
SUITE I
FLINT, MI
ZIP 48506

Phone Number: (810) 232-2920



Detailed Information

William Devere Johnson, DDS is a dentist in Flint, MI. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. The assigned NPI number for this provider is 1518306687 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

2811 E COURT ST
SUITE I
FLINT, MI
ZIP 48506-054
Phone: (810) 232-2920
Fax: (810) 232-1054

The enumeration date for this NPI number is 6/21/2013 and was last updated on 6/21/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 122300000X Dentist 2901021029 MI Yes

NPI Record

No. Field Name Field Value
1 NPI 1518306687
2 Entity Type Code 1
3 Provider Last Name Legal Name JOHNSON
4 Provider First Name WILLIAM
5 Provider Middle Name DEVERE
6 Provider Credential Text DDS
7 Provider First Line Business Practice Location Address 2811 E COURT ST
8 Provider Second Line Business Practice Location Address SUITE I
9 Provider Business Practice Location Address City Name FLINT
10 Provider Business Practice Location Address State Name MI
11 Provider Business Practice Location Address Postal Code 485064054
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8102322920
14 Provider Business Practice Location Address Fax Number 8102321054
15 Provider Enumeration Date 6/21/2013
16 Last Update Date 6/21/2013
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 122300000X
19 Provider License Number 1 2901021029
20 Provider License Number State Code 1 MI
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.