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KENT JOHANSEN DDS PLC NPI 1821114778


NPI Information

NPI: 1821114778
Provider Name: KENT JOHANSEN, DDS, PLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3800 W RAY RD
SUITE 11
CHANDLER, AZ
ZIP 85226
Phone: (480) 345-0530
Get Directions

KENT JOHANSEN, DDS, PLC is a general practice dentist in Chandler, AZ. 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. KENT JOHANSEN, DDS, PLC NPI is 1821114778. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3800 W RAY RD
SUITE 11
CHANDLER, AZ
ZIP 85226-940
Phone: (480) 345-0530
Fax: (480) 345-0048

The provider's authorized official is Kent Johansen .
The authorized official title is Owner and has the following contact phone number (480) 345-0530.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.


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 Practice3035ARIZONAYes

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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