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 1551 E Morris Blvd , Morristown TN 37813-5729. 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) 587-8383, or through Johnson, Brad S via phone (423) 587-8383.

Contact Information

Primary practice address
1551 E Morris Blvd Morristown TN 37813-5729
Phone: (423) 587-8383
Fax: (423) 587-8382
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Brad S Doctor of Dental Medicine (DMD)
Phone: (423) 587-8383

Health care specialties

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

Profile Details

NPI number 1811290497
LBN Legal business name Brad S. Johnson, Dmd, Pllc
DBA Doing business as
Authorized official Johnson, Brad S Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2010
Last updated Dec 21st, 2010 - about 15 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 1811290497 NPPES
Tennessee MEDICAID 151-3459

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