Brad S. Johnson, Dmd, Pllc

LBN: Brad S. Johnson, Dmd, Pllc
Brad S. Johnson, Dmd, Pllc is an health care organization with primary practice located at 703 K St , Greeneville TN 37745-6246. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Brad S. Johnson, Dmd, Pllc can be contacted via phone (423) 639-6769, or through Hurst, Janice D via phone (423) 587-8383.

Contact Information

Primary practice address
703 K St Greeneville TN 37745-6246
Phone: (423) 639-6769
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hurst, Janice D
Phone: (423) 587-8383

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS8950 Tennessee

Profile Details

NPI number 1144667908
LBN Legal business name Brad S. Johnson, Dmd, Pllc
DBA Doing business as
Authorized official Hurst, Janice D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2013
Last updated Jun 3rd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144667908 NPPES
Tennessee MEDICAID 151-3459

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