DR. CHARLES E JOHNSON JR. (NPI# 1346356599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346356599 |
| Entity Type | Individual |
| Full Name | DR. CHARLES E JOHNSON JR. |
| Credential | DMD |
| Practice Address |
Bryce Hospital 200 University Blvd Tuscaloosa AL 35401-1205 |
| Mailing Address |
200 University Blvd Tuscaloosa AL 35401-1205 |
| Practice Telephone | 2057590799 |
| Practice Fax Number | 2057590845 |
| Mailing Telephone | 2057590799 |
| Mailing Fax Number | 2057590845 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3516 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51000265 | 01 |
| AL | 009947605 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
| 1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
| 1528591724 | Charles Johnson | Counselor | 512 Sapphire St, Opelousas, LA 70570-3536 | 2017-04-05 |
| 1265976047 | Charles Johnson | Counselor | 1320 Harvard Ave, Shreveport, LA 71103-2521 | 2016-12-13 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1437538410 | Charles David Johnson | Nurse Practitioner | 417 Fruitland Park Rd, Wiggins, MS 39577-8312 | 2015-05-24 |
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1235333147 | Charles Johnson | Physical Therapy Assistant | 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 | 2007-06-13 |
| Street Address |
BRYCE HOSPITAL 200 UNIVERSITY BLVD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891801031 | Thomas H Patton IIi | Dentist | Bryce Hospital, 200 University Blvd, Tuscaloosa, AL 35401-1205 | 2006-08-21 |
| 1902912140 | Sandra Lea Ultsch | Nurse Practitioner | Bryce Hospital, 200 University Blvd, Tuscaloosa, AL 35401-1250 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| 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 |
|---|---|---|---|---|
| 1538401385 | Rodney L Goins | Dentist | 1434 2nd Ct E, Tuscaloosa, AL 35401-3200 | 2013-03-20 |
| 1659628535 | John Lee Fleming | Dentist | 1736 Teal Cir, Tuscaloosa, AL 35405-6761 | 2012-08-09 |
| 1295090033 | Affordable Dentures- Tuscaloosa, P.C. | Dentist | 1516 Skyland Blvd E, Tuscaloosa, AL 35405-4232 | 2012-07-09 |
| 1922219286 | Eason Kavanaugh Wood | Dentist | 500 B 15th St East, Tuscaloosa, AL 35401 | 2007-05-25 |
| 1083788384 | David Grant Skalnik | Dentist | 6525 Old Greensboro Rd, Tuscaloosa, AL 35405-5993 | 2006-11-20 |
| 1760551378 | Maxwell Moody IIi | Dentist | 400 E Hargrove Rd, Tuscaloosa, AL 35401-5032 | 2006-11-07 |
| 1730266628 | Thomas R Nelson | Dentist | 149 Skyland Blvd, Tuscaloosa, AL 35405-4014 | 2006-11-01 |
| 1215021902 | Patrick Lee Davis | Dentist | 1701 Mcfarland Blvd #122, Tuscaloosa, AL 35404 | 2006-10-03 |
| 1942394820 | Dental Associates of Tuscaloosa LLC | Dentist | 217 Mcfarland Circle North, Tuscaloosa, AL 34506 | 2006-10-03 |
| 1588765887 | Willis J. Meriwether, Dmd, PC | Dentist | 600 A University Blvd East, Tuscaloosa, AL 35401 | 2006-09-26 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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| 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.