Dr. Henderson Andrew Johnson Iv is a Cleveland, Ohio based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Henderson Andrew Johnson Iv is 17934 for General Practice Dentistry in Ohio. His current practice location is 2475 E 22nd St, Suite 204, Cleveland. Patients can reach him at 216-566-7770.
Dr. Henderson Andrew Johnson Iv is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Henderson Andrew Johnson Iv speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Henderson Andrew Johnson Iv
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S
Accepts Medicare Assignment:
No
Practice Address:
2475 E 22nd St, Suite 204, Cleveland, Ohio, 44115-3221
Phone:
216-566-7770
Fax:
216-566-7704
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104994052
NPI Enumeration Date:
30 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Henderson Andrew Johnson Iv are as mentioned below.
License Number
Specialization
State
Status
17934
General Practice Dentistry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Henderson Andrew Johnson Iv such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0668406
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2475 E 22nd St, Suite 204 Cleveland, Ohio
Zip:
44115-3221
Phone Number:
216-566-7770
Fax Number:
216-566-7704
Patients can reach Dr. Henderson Andrew Johnson Iv at 2475 E 22nd St, Suite 204, Cleveland, Ohio or can call to book an appointment on 216-566-7770. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.