DR. WALLACE B JOHNSON (NPI# 1932355229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932355229 |
| Entity Type | Individual |
| Full Name | DR. WALLACE B JOHNSON |
| Credential | D.D.S. |
| Practice Address |
West Lake Road Mayville NY 14757-0126 |
| Mailing Address |
Po Box 126 Mayville NY 14757-0126 |
| Practice Telephone | 7167537612 |
| Mailing Telephone | 7167537612 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 161107632 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639341076 | Wallace Emanuel Johnson | Orthopaedic Surgery | 273 Leeward Ct, Detroit, MI 48207-5053 | 2008-03-26 |
| 1346209020 | Wallace Scott Johnson | Optometrist | 702 10th St, Worthington, MN 56187-2767 | 2006-03-21 |
| 1659480838 | Wallace Allen Johnson Jr. | Pharmacist | 933 Old Rockford St, Suite 3, Mount Airy, NC 27030-5356 | 2006-08-30 |
| 1902833619 | Wallace E Johnson | Internal Medicine | 800 Ayrault Rd Ste 200, Fairport, NY 14450-8941 | 2006-06-27 |
| 1043253867 | Wallace R Johnson | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1590 | 2006-06-13 |
| Street Address |
WEST LAKE ROAD |
| City | MAYVILLE |
| State | NY |
| Zip Code | 14757-0126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144598129 | Michele Therese Jones | Speech-Language Pathologist | 100 North Erie Street, Chautauqua Lake Central School-erie 2 Boces Program, Mayville, NY 14757 | 2011-12-06 |
| 1043351935 | Melody A Dejohn | Counselor | 99 S Erie St, Mayville, NY 14757 | 2007-02-12 |
| 1386794006 | Vivian Karen Gerard | Counselor | 7 North Erie Street, Mayville, NY 14757 | 2007-01-12 |
| 1467487413 | Connie Jo Tonger | Nurse Practitioner | 95 E Chautauqua St, Mayville, NY 14757 | 2006-07-11 |
| 1104150507 | Jerome Thomas Scholl | Dentist | 126 W. Lake Rd., Mayville, NY 14757-0000 | 2009-10-01 |
| 1528345469 | Sarah Ann Uebelhoer | Physician Assistant | 95 East Chautauqua St, Mayville, NY 14757-0168 | 2011-11-07 |
| 1619072204 | Family Health Medical Services Pllc | Family Medicine | 95 East Chautauqua St., Mayville, NY 14757-0168 | 2006-09-14 |
| 1972572691 | Roy M Sleboda | Physician Assistant | 95 E Chautauqua St., Mayville, NY 14757-0168 | 2006-03-15 |
| 1952384844 | Ralph Gerald Walton | Psychiatry & Neurology | 95 East Chautauqua Street, Mayville, NY 14757-0168 | 2005-11-23 |
| 1437140423 | Stephanie Redlecki | Physician Assistant | 95 E Chautauqua St, Mayville, NY 14757-0168 | 2005-10-31 |
| Find all providers in zip 14757 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780033860 | Dr. Dan Stevens Family Dentistry, LLC | Dentist | 105 Bridge St, Mayville, WI 53050-1635 | 2016-06-08 |
| 1275621864 | Robert C Lauf | Dentist | 37 1/2 Main St E, Mayville, ND 58257-1450 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.