NPI 1356406128 · live from the CMS NPI Registry
Samuel Meredith Johnson, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Jeffersonville, IN. National Provider Identifier 1356406128, active.
NPI record
| NPI | 1356406128 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2946 Hwy 62, Bldg B, Jeffersonville, IN 47130 |
| Practice phone | 812-288-8880 |
| Enumerated | December 22, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12006785A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.