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ABBASSI JOHNSON PROFESSIONAL CORPORATION NPI 1255615522


NPI Information

NPI: 1255615522
Provider Name: ABBASSI JOHNSON PROFESSIONAL CORPORATION

Doing Business As: N/A

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
558 W BADILLO ST
COVINA, CA
ZIP 91722
Phone: (626) 331-0506
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ABBASSI JOHNSON PROFESSIONAL CORPORATION is an oral and maxillofacial surgery dentist in Covina, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ABBASSI JOHNSON PROFESSIONAL CORPORATION NPI is 1255615522. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As N/a.

The provider's business location address is:

558 W BADILLO ST
COVINA, CA
ZIP 91722
Phone: (626) 331-0506
Fax: (626) 858-1788

The provider's authorized official is Arthur Johnson .
The authorized official title is Owner and has the following contact phone number (626) 331-0506.

The enumeration date for this NPI number is 10/5/2011 and was last updated on 10/5/2011.


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
11223E0200XDentistEndodontics54047CALIFORNIANo
21223G0001XDentistGeneral Practice55948CALIFORNIANo
31223G0001XDentistGeneral Practice54322CALIFORNIANo
41223P0300XDentistPeriodontics47476CALIFORNIANo
51223S0112XDentistOral and Maxillofacial Surgery24358CALIFORNIANo
61223S0112XDentistOral and Maxillofacial SurgeryOMS36CALIFORNIAYes

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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