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VIP SMILES JOHNSON DENTAL INC NPI 1497081459


NPI Information

NPI: 1497081459
Provider Name: VIP SMILES JOHNSON DENTAL INC

Doing Business As: VIP SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5260 WARRENSVILLE CTR RD
MAPLE HEIGHTS, OH
ZIP 44137
Phone: (216) 475-0080
Get Directions

VIP SMILES JOHNSON DENTAL INC is a general practice dentist in Maple Heights, OH. 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. VIP SMILES JOHNSON DENTAL INC NPI is 1497081459. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vip Smiles.

The provider's business location address is:

5260 WARRENSVILLE CTR RD
MAPLE HEIGHTS, OH
ZIP 44137-913
Phone: (216) 475-0080
Fax: (216) 475-0778

The provider's authorized official is Lucia Johnson .
The authorized official title is Chairman and has the following contact phone number (216) 288-7560.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 10/27/2009.


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 Practice30-21917OHIOYes

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
12492440MEDICAIDOHIO

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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