DR. JERRY H JOHNSON (NPI# 1952305351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952305351 |
Entity Type | Individual |
Full Name | DR. JERRY H JOHNSON |
Credential | DDS |
Practice Address |
1277 Highway 411 Vonore TN 37885-2456 |
Practice Telephone | 4238842300 |
Mailing Telephone | 4238842300 |
Enumeration Date | 2005-06-13 |
Last Update Date | 2014-03-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
8773 | TN | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
6328 | IA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629454897 | Jerry Johnson | Pharmacist | 4004 Lake Adger Pkwy, Mill Spring, NC 28756-4800 | 2015-08-10 |
1487721858 | Jerry L Johnson | Obstetrics & Gynecology | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | 2006-11-29 |
1730260829 | Jerry Lee Johnson | Chiropractor | 11914 N Pennsylvania Ave Ste B3, Oklahoma City, OK 73120-7831 | 2006-10-17 |
1780779140 | Jerry Allen Johnson | Physician Assistant | 1201 Sam Bass Road, Round Rock, TX 78681-4137 | 2006-10-03 |
1003907817 | Jerry Lee Johnson | Chiropractor | 4312 Mormon Coulee Rd, La Crosse, WI 54601-7908 | 2006-09-27 |
1346253499 | Jerry N Johnson | Chiropractor | 1502 E Belt Line Rd, Carrollton, TX 75006-6307 | 2006-08-13 |
1316975568 | Jerry Lee Johnson | Dentist | 1316 Mcmillan St, Worthington, MN 56187-1646 | 2006-06-28 |
1871584565 | Jerry Alan Johnson | Dentist | 2295 E Washington Blvd, Pasadena, CA 91104-1944 | 2005-11-02 |
1962057802 | Jerry Michael Johnson | Pharmacist | 311 S Avenue D, Burkburnett, TX 76354-3541 | 2019-08-07 |
1144704248 | Jerry Johnson | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2018-09-24 |
Street Address |
1277 HIGHWAY 411 |
City | VONORE |
State | TN |
Zip Code | 37885-2456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275756900 | Eric Peter Fugate | Dentist | 1277 Highway 411, Vonore, TN 37885-2456 | 2007-04-11 |
1730287087 | Vonore Dental Practice P C | Dentist | 1277 Highway 411, Vonore, TN 37885-2456 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871723361 | Blount Memorial Hospital, Inc | Family Medicine | 110 Deer Crossing, Vonore, TN 37885 | 2009-07-20 |
1407821069 | Shawn Christian Davies | Specialist/Technologist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-02-17 |
1245251156 | Blount Memorial Occupational Health | Clinic/Center | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-07-23 |
1376511931 | Edward Stephen Ellis | Internal Medicine | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-03-09 |
1669449989 | Jennifer Saunders Shepherd | Physical Therapist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-03-06 |
1871568428 | Candace Michelle Yates | Specialist/Technologist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-02-17 |
1194274225 | Tina Billings | Health Educator | 365 Gun Ridge Rd, Vonore, TN 37885-2207 | 2016-09-30 |
1942543871 | K-va-t Food Stores Inc | Pharmacy | 2120 Highway 411, Vonore, TN 37885-2220 | 2013-03-28 |
1790055259 | Chota Community Health Services | Social Worker | 414 Hall St, Vonore, TN 37885-2338 | 2011-12-30 |
1639239791 | Tellico Bay Counseling & Wellness Center | Counselor | 104 Dawson St, Vonore, TN 37885-2416 | 2006-12-11 |
Find all providers in zip 37885 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275756900 | Eric Peter Fugate | Dentist | 1277 Highway 411, Vonore, TN 37885-2456 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
1487268132 | Tennessee Dental Professionals, PC | Dentist | 3817 Bedford Ave Ste 110, Nashville, TN 37215-2534 | 2020-09-01 |
1467065326 | Kevin Melanio Corvacho | Dentist | 2854 N Main St Ste 102, Crossville, TN 38555-5413 | 2020-08-28 |
1063025336 | Vaughan Family Dentistry, PC | Dentist | 27001 Main St., Ardmore, TN 38449 | 2020-08-26 |
1356954838 | La Vergne Dental Associates, Pllc | Dentist | 6001 Jackson Square Blvd Ste 1001, La Vergne, TN 37086-2768 | 2020-08-25 |
1962014399 | Jordan Evans | Dentist | 4957 Swinyar Dr Ste 111, Ooltewah, TN 37363-2205 | 2020-08-18 |
1740890136 | Sarah Hartlerode | Dentist | 5915 N Watkins Rd, Millington, TN 38053-6936 | 2020-07-31 |
1942818661 | Shelby Victoria Nelson | Dentist | 1950 Downs Blvd Ste 101, Franklin, TN 37064-1561 | 2020-07-20 |
1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
Find all providers with the same taxonomy |
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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.