DR. JEFF JOHNSON D.M.D. NPI 1174622807

NPI Information

  • NPI: 1174622807
  • Provider Name: DR. JEFF JOHNSON, D.M.D.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 507 E CHURCH ST
    BOONEVILLE, MS
    ZIP 38829
  • Phone: (662) 728-2123

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NPI Details

DR. Jeff Johnson, D.M.D. is a general practice dentist in Booneville, MS. 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. DR. Jeff Johnson, D.M.D. NPI is 1174622807. 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:

507 E CHURCH ST
BOONEVILLE, MS
ZIP 38829-709
Phone: (662) 728-2123
Fax: (662) 728-1748

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1932-81MISSISSIPPIYes

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: 11/21/2025

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