JEAN D JOHNSON NPI 1427729532

NPI Information

NPI: 1427729532
Provider Name: JEAN D JOHNSON
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2201 5TH STREET HOLLOW RD STE 2
BLOOMSBURG, PA
ZIP 17815
Phone: (570) 458-6731
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JEAN D JOHNSON is a dental clinic center in Bloomsburg, PA. JEAN D JOHNSON NPI is 1427729532. The provider is registered as an organization entity type.

The provider's business location address is:

2201 5TH STREET HOLLOW RD STE 2
BLOOMSBURG, PA
ZIP 17815-757
Phone: (570) 458-6731

The provider's authorized official is Jean Johnson .
The authorized official title is Owner and has the following contact phone number (570) 458-6731.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/28/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
2	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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