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NPI Code Detail

MEDICARE: DR. THOMAS ORAL JOHNSON D.D.S.

MEDICARE: DR. THOMAS ORAL JOHNSON D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN17246FL
21223G0001XGeneral Practice Dentistry9656NC

General Provider Information

NPI Number : 1487697926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ORAL JOHNSON D.D.S.
Provider Business Mailing Address
First Line : 1111 S POLLOCK ST
Second Line :
City : SELMA
State : NC
Zip : 27576-2933
Country : US
Telephone Number : 919-323-8173
Fax Number :
Provider Business Practice Location Address
First Line : 1111 S POLLOCK ST
Second Line :
City : SELMA
State : NC
Zip : 27576-2933
Country : US
Telephone Number : 919-323-8173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 12/22/2015

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Directions to “ DR. THOMAS ORAL JOHNSON D.D.S.” Practice Location

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