NPI 1194963660 MATTHEW A JOHANSON D.M.D. DENVER CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Matthew A Johanson - NPI: 1194963660

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MATTHEW A JOHANSON
NPI Number: 1194963660
Entity Type Code: Individual (1)
Gender: M
Credentials: D.M.D.
License Number: 10169
Business Practice Address: 11178 Huron St
Ste 100 Northglenn, CO - 802344370
Business Phone Number: 3034579617
Business Fax Number: 3034572405
Mailing Address: 3215 Geneva St,
DENVER
State: CO
Postal Code: 802383345
Phone Number: 3038683064
Fax Number:
NPI Enumeration Date: 01/21/2009
NPI Last Update Date: 11/06/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223P0300X
License Number: 10169
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CO
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: Periodontics
Taxonomy Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.


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