Dr. Heenan Johnson , DDS
Dentist - General Practice • Lubbock, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Heenan Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Heenan Johnson, DDS was a registered Dentist - General Practice practicing in Lubbock, TX. Throughout an active medical career spanning 12 years, Dr. Johnson provided care at the practice location at 2204 ITHACA AVE until profile deactivation on 2018-09-20.
Practice Location & Contact Primary Location
2204 Ithaca Ave
Suite B
Lubbock, TX 794101300
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Lubbock, TX
Practicing in Lubbock, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 20, 2018
NPI status registered as active in NPPES database
Registered at 2204 ITHACA AVE, SUITE B, LUBBOCK, TX 794101300 (Tel: 8067934438)
Registered at 2204 ITHACA AVE, SUITE B, LUBBOCK, TX 794101300 (Tel: 8067934438)
Recorded as HEENAN JOHNSON, DDS
Dentist (License #06535 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2204 Ithaca Ave, Suite B
Lubbock, TX 794101300
Phone: 8067934438
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