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JUDY ANN JOHNSON DDS PC NPI 1194811885


NPI Information

NPI: 1194811885
Provider Name: JUDY ANN JOHNSON, DDS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1030 STERLING AVENUE
FLOSSMOOR, IL
ZIP 60422
Phone: (708) 647-0740
Get Directions

JUDY ANN JOHNSON, DDS, PC is a general practice dentist in Flossmoor, IL. 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. JUDY ANN JOHNSON, DDS, PC NPI is 1194811885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1030 STERLING AVENUE
FLOSSMOOR, IL
ZIP 60422-265
Phone: (708) 647-0740
Fax: (708) 647-0741

The provider's authorized official is Judy Ann Johnson .
The authorized official title is President and has the following contact phone number (708) 647-0740.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/17/2013.


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
11223G0001XDentistGeneral Practice019016821ILLINOISYes

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

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