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General NPI Number Information
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NPI Number | 1457761983
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Entity Type | Organization
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Legal Business Name | STEVEN G. JOHNSON DENTAL CORPORATION
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 103 S MILLS RD STE 101
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City | VENTURA
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State | CA
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Zip | 93003-3456
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Country | US
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Telephone | 805-643-5026
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Fax | 805-643-5029
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Provider Business Mailing Address
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Address Line | 103 S MILLS RD STE 101
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City | VENTURA
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State | CA
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Zip | 93003-3456
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Country | US
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Telephone | 805-643-5026
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Fax | 805-643-5029
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Authorized Official
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Title or Position | OPERATIONS SUPPORT MANAGER
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Name | MS. AMY LOUISE BUTTERY
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Credential |
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Telephone | 805-456-1235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | CA
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