Neale Wayne Johnson, DDS is a
Dentist - General Practice based in Stockton, Missouri. Neale Wayne Johnson is licensed to practice in Missouri (license number 11955) and his current practice location is
201 W. Smith Dr., Stockton, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 276-4417.
NPI number for Neale Wayne Johnson is 1609885524 and his current mailing address is Po Box 609, Stockton, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609885524.
Healthcare Provider's Profile
| Full Name | Neale Wayne Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 201 W. Smith Dr., Stockton, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609885524
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Neale Wayne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609885524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 11955 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Neale Wayne Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Neale Wayne Johnson, DDS
Po Box 609,
Stockton, MO 65785-0609
Ph: (417) 276-4417 | Neale Wayne Johnson, DDS
201 W. Smith Dr.,
Stockton, MO 65785-0609
Ph: (417) 276-4417 |
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