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General NPI Number Information
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NPI Number | 1962122515
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Entity Type | Organization
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Legal Business Name | ZELTON G JOHNSON DDS
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 4170 LENNON RD STE B
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City | FLINT
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State | MI
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Zip | 48507-1083
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Country | US
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Telephone | 810-875-0624
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Fax |
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Provider Business Mailing Address
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Address Line | 4170 LENNON RD STE B
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City | FLINT
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State | MI
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Zip | 48507-1083
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Country | US
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Telephone | 810-720-0701
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ZELTON JOHNSON
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Credential | DDS
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Telephone | 810-720-0701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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