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EDWINA V. JOHNSON D.D.S. P.C. NPI 1003003831


NPI Profile

NPI: 1003003831
Provider Name: EDWINA V. JOHNSON, D.D.S., P.C.

Doing Business As: DENTAL WORKS

Classification:Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4200 HEMINGWAY DR
OKLAHOMA CITY, OK
ZIP 73118
Get Directions

Phone: (405) 557-1245

EDWINA V. JOHNSON, D.D.S., P.C. is a general practice dentist in Oklahoma City, OK. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. EDWINA V. JOHNSON, D.D.S., P.C. NPI is 1003003831. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Works.

The provider's business location address is:

4200 HEMINGWAY DR
OKLAHOMA CITY, OK
ZIP 73118-235
Phone: (405) 557-1245

The provider's authorized official is Edwina Virginia Johnson .
The authorized official title is Dentist and has the following contact phone number (405) 557-1245.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 6/18/2008.


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
11223G0001XDentistGeneral PracticeS 4606OKLAHOMAYes

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
1=========OTHEROKLAHOMATAX ID
2731231901001OTHEROKLAHOMAOTHER ID OK
31316049141OTHEROKLAHOMANPI INDIVIDUAL ID

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: 6/14/2021

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