DR. VINCENT CLIFTON JOHNSON (NPI# 1982708129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982708129 |
| Entity Type | Individual |
| Full Name | DR. VINCENT CLIFTON JOHNSON |
| Credential | D.D.S. |
| Practice Address |
508 E M 55 Tawas City MI 48763-9215 |
| Practice Telephone | 9893626186 |
| Practice Fax Number | 9893625774 |
| Mailing Telephone | 9893626186 |
| Mailing Fax Number | 9893625774 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901011908 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4162141 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1447363312 | Vincent Gregory Johnson | Anesthesiology | 500 W Main St Ste 116, Babylon, NY 11702-3032 | 2006-08-16 |
| 1053717082 | Vincent Bernard Johnson | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-5335 | 2014-11-19 |
| 1861833097 | Vincent Johnson | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2013-07-16 |
| 1164549168 | Vincent Johnson | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2007-03-23 |
| 1497749931 | Vincent L Johnson | Internal Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2005-09-09 |
| Street Address |
508 E M 55 |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| 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 |
|---|---|---|---|---|
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1750433165 | John L Lesneski | Dentist | 508 W Lake St, Tawas City, MI 48763-5106 | 2007-01-17 |
| 1003115031 | John L Lesneski Dds Plc | Dentist | 508 W Lake St, Tawas City, MI 48763-5106 | 2011-03-16 |
| 1902958275 | Dennis W Mollard | Dentist | 508 W Lake St, Tawas City, MI 48763-5106 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
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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.