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1285067454 NPI number — DAVID JUHN DDS

NPI Number: 1285067454
Health Care Provider/Practitioner: DAVID JUHN DDS

Information about “1285067454” NPI (DAVID JUHN DDS) exists in 1285067454 in HTML format HTML  |  1285067454 in plain Text format TXT  |  1285067454 in PDF (Portable Document Format) PDF  |  1285067454 in an XML format XML  formats.

NPI Number : 1285067454 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285067454",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JUHN",
    "FirstName": "DAVID",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3029 BOONES LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELLICOTT CITY",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21042-2133",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-750-3198",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6471 MARLBORO PIKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DISTRICT HEIGHTS",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20747-2843",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-455-5425",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/12/2013",
    "LastUpdateDate": "07/24/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "05/22/2019",
    "NPIReactivationDate": "07/24/2019",
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DN1856362",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "15825",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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