PHUNG PHAM JOHNSON (NPI# 1205063203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205063203 |
| Entity Type | Individual |
| Full Name | PHUNG PHAM JOHNSON |
| Credential | DMD |
| Practice Address |
520 W Oakland Ave Suite 6 Johnson City TN 37604-1654 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 4239265800 |
| Mailing Telephone | 3154546000 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2015-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS0000009202 | TN | Dental Providers |
| Street Address |
520 W OAKLAND AVE SUITE 6 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980217 | Michael Ryan Fuchs | Dentist | 508 Princeton Rd Ste 101, Johnson City, TN 37601-2060 | 2019-06-11 |
| 1437658507 | Advanced Dental and Anesthesia Solutions LLC | Dentist | 135 Marketplace Dr Ste 101, Johnson City, TN 37604-8933 | 2018-02-05 |
| 1366996084 | Amy Herron Moody | Dentist | 108 W 10th Ave, Johnson City, TN 37604-3800 | 2016-08-10 |
| 1053552307 | Allcare Dental & Dentures | Dentist | 2301 N Roan St, Johnson City, TN 37601-1701 | 2009-03-17 |
| 1679767669 | Thomas Russell Seaver | Dentist | 401 W Walnut St, Johnson City, TN 37604-6713 | 2007-09-01 |
| 1578761953 | William Thomas Baker Jr. | Dentist | 300 West Watauga Avenue, Johnson City, TN 37604 | 2007-07-06 |
| 1912115866 | Hugh Charles Mohler | Dentist | 513 E Unaka Ave, Johnson City, TN 37601-4032 | 2007-05-21 |
| 1891816534 | Walter Jeff Banyas | Dentist | 216 W Watauga Ave, Johnson City, TN 37604-5624 | 2007-04-02 |
| 1306981915 | Lester G Koe Jr. | Dentist | 106 East Unaka Ave, Johnson City, TN 37601-4624 | 2007-02-21 |
| 1407999741 | Robert Gross Rowe Jr. | Dentist | 604 North Roan Street, Suite 2, Johnson City, TN 37601 | 2007-02-15 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on PHUNG PHAM JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.