Dr. Mark W. Johnson, Pa

LBN: Dr. Mark W. Johnson, Pa
Dr. Mark W. Johnson, Pa is an health care organization with primary practice located at 604 Mccarthy Blvd , New Bern NC 28562-5231. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Dr. Mark W. Johnson, Pa can be contacted via phone (252) 638-6177, or through Johnson, Mark Winton via phone (252) 638-6177.

Contact Information

Primary practice address
604 Mccarthy Blvd New Bern NC 28562-5231
Fax: (252) 638-5269
Website:
Authorized official contact:
Name: Johnson, Mark Winton D.M.D., M.S.

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1223S0112X North Carolina

Profile Details

NPI number 1568531861
LBN Legal business name Dr. Mark W. Johnson, Pa
DBA Doing business as
Authorized official Johnson, Mark Winton D.M.D., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Sep 9th, 2020 - about 4 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 1568531861 NPPES
North Carolina Other 0242G BCBS
North Carolina MEDICAID 790242G BCBS

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