Dr. Van B Johnson , DDS
Dentist - General Practice • Logan, UT
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. Van Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Van Johnson, DDS was a registered Dentist - General Practice practicing in Logan, UT. Throughout an active medical career spanning 10 years, Dr. Johnson provided care at the practice location at 1445 N 400 E until profile deactivation on 2017-05-25.
Practice Location & Contact Primary Location
1445 N 400 E
Suite 1
Logan, UT 843417564
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Logan, UT
Practicing in Logan, UT (1388 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 - Orthodontics and Dentofacial Orthopedics
Doctor of Dental Surgery, MSD
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 25, 2017
NPI status registered as active in NPPES database
Registered at 1445 N 400 E, SUITE 1, LOGAN, UT 843417564 (Tel: 4357524348)
Registered at 1445 N 400 E, SUITE 1, LOGAN, UT 843417564 (Tel: 4357524348)
Recorded as VAN JOHNSON, D.D.S.
Dentist (License #142456 in UT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1445 N 400 E, Suite 1
Logan, UT 843417564
Phone: 4357524348
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