Dr Kevin Johnson, DDS | |
1001 Covington St, Youngstown, OH 44510-1617 | |
(330) 480-3195 | |
Not Available |
Full Name | Dr Kevin Johnson |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 1001 Covington St, Youngstown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114419454 | NPI | - | NPPES |
0364263 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30.025485 (Ohio) | Primary |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
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Dr Kevin Johnson, DDS 1001 Covington St, Youngstown, OH 44510-1617 Ph: (330) 480-3195 | Dr Kevin Johnson, DDS 1001 Covington St, Youngstown, OH 44510-1617 Ph: (330) 480-3195 |
Dr. Anthony Edward Bisconti, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 908 Sahara Trl, Suite 1, Youngstown, OH 44514 Phone: 330-758-0208 Fax: 330-758-2891 | |
Dr. Daniel Raymond Armeni, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 242 E Midlothian Blvd, Youngstown, OH 44507 Phone: 330-782-5927 Fax: 330-783-9316 | |
Greg Benjamin Iaderosa, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 East California Avenue, Suite #1, Youngstown, OH 44512 Phone: 330-758-7540 Fax: 330-758-7599 | |
Dr. James Gerard Turk, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6960 Market St, Youngstown, OH 44512 Phone: 330-758-1811 | |
Marco Lopez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Gypsy Ln Fl 3, Youngstown, OH 44504 Phone: 330-884-3058 | |
Dr. Thomas D Sopkovich, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 755 Boardman Canfield Rd, Southbridge West Bldg L 1, Youngstown, OH 44512 Phone: 330-758-7750 Fax: 330-965-9885 | |
Mary Ibrahim, Dentist Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-2994 |