JOHNSON DENTAL CLINIC (NPI# 1053573725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053573725 |
| Entity Type | Organization |
| Organization Name | JOHNSON DENTAL CLINIC |
| Practice Address |
1313 W Highway 8 Cleveland MS 38732-2240 |
| Practice Telephone | 6628438353 |
| Mailing Telephone | 6628438353 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | SUSAN S JOHNSON (WIFE) |
| Authorized Official Telephone | 6628438353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2826-94 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015931 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | JOHNSON DENTAL CLINIC, INC. | 24869 E Stonecrest Ave, Liberty Lake, WA 99019 |
| Street Address |
1313 W HIGHWAY 8 |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619985272 | Daryl Lance Johnson | Dentist | 1313 W Highway 8, Cleveland, MS 38732-2240 | 2006-08-03 |
| 1043691603 | Hamilton Brown | Dentist | 1313 W Highway 8, Cleveland, MS 38732-2240 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049597 | Leila Saeed | Dentist | A2z Dental & Braces, Cleveland, TX 77327-1655 | 2020-09-30 |
| 1679183701 | Ryba Dentistry LLC | Dentist | 3219 Detroit Ave Ste 102, Cleveland, OH 44113-2759 | 2020-08-04 |
| 1568015881 | Garett Samarie Patterson | Dentist | 5350 Transportation Blvd Ste 8, Cleveland, OH 44125-5307 | 2019-07-17 |
| 1902468069 | Stephen Andrew Akin | Dentist | 166 Quillian St, Cleveland, GA 30528-1431 | 2019-06-28 |
| 1023572096 | Tennessee Dental Professionals, PC | Dentist | 609 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2019-01-24 |
| 1083185516 | Dental Professional Cleveland - Nouneh, Inc. | Dentist | 3269 Steelyard Dr, Cleveland, OH 44109-2381 | 2018-12-10 |
| 1730660770 | Dr Marino and Associates Inc | Dentist | 5716 Broadway Ave, Cleveland, OH 44127-1715 | 2018-08-28 |
| 1164924379 | Savitha Deepthi Yannam | Dentist | 13855 Superior Rd Apt 1309, Cleveland, OH 44118-1045 | 2018-03-03 |
| 1245745686 | Smiles for A Lifetime, Pa | Dentist | 117 E Houston St, Cleveland, TX 77327-4509 | 2017-12-07 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.