| Dr. Samuel L. Johnson, Dds, P.c. | |
|
740 Hillcrest Rd Ste 2b Mobile AL 36695-4021 | |
| (251) 639-0911 | |
| (251) 633-7889 |
| Full Name | Dr. Samuel L. Johnson, Dds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 740 Hillcrest Rd Ste 2b, Mobile, Alabama |
| Authorized Official Name and Position | Samuel L. Johnson (CEO) |
| Authorized Official Contact | 2516390911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Samuel L. Johnson, Dds, P.c. 740 Hillcrest Rd Ste 2b Mobile AL 36695-4021 Ph: (251) 639-0911 | Dr. Samuel L. Johnson, Dds, P.c. 740 Hillcrest Rd Ste 2b Mobile AL 36695-4021 Ph: (251) 639-0911 |
| NPI Number | 1992853337 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992853337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4049 (Alabama) | Primary |
| 1223G0001X | Dentist - General Practice | 5453C (Alabama) | Secondary |
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