Eddie P Johnson Iii, Dmd, Pc

LBN: Eddie P Johnson Iii, Dmd, Pc
Eddie P Johnson Iii, Dmd, Pc is an health care organization with primary practice located at 2755 Barton Chapel Rd , Augusta GA 30906. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Eddie P Johnson Iii, Dmd, Pc can be contacted via phone (706) 790-9179, or through Johnson, Eddie P via phone (706) 790-9179.

Contact Information

Primary practice address
2755 Barton Chapel Rd Augusta GA 30906
Phone: (706) 790-9179
Fax: (706) 790-3408
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Eddie P Doctor of Dental Medicine (DMD)
Phone: (706) 790-9179

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 009685 Georgia

Profile Details

NPI number 1811266646
LBN Legal business name Eddie P Johnson Iii, Dmd, Pc
DBA Doing business as
Authorized official Johnson, Eddie P Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2011
Last updated Dec 23rd, 2011 - 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 1811266646 NPPES
Georgia MEDICAID 00254526C

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