Northeast Texas Community College Dental Hygiene Clinic

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

NORTHEAST TEXAS COMMUNITY COLLEGE DENTAL HYGIENE CLINIC

Practice address

2886 FM 1735, Chapel Hill Road
Mt. Pleasant, TX 75455

Phone

(903) 434-8350

Fax

(903) 434-4424

NPI assigned

Dec 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Jo Johnson, RDH, PH.D

Title

Program Director

Phone

(903) 434-8352

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1407277239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1307",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754569991",
            "telephone_number": "903-434-8350",
            "fax_number": "903-434-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 FM 1735, CHAPEL HILL ROAD",
            "city": "MT. PLEASANT",
            "state": "TX",
            "postal_code": "75455",
            "telephone_number": "903-434-8350",
            "fax_number": "903-434-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TEXAS COMMUNITY COLLEGE DENTAL HYGIENE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "903-434-8352",
        "authorized_official_credential": "RDH, PH.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Mt. Pleasant, TX
• Providers in Mt. Pleasant, TX by specialty
• Dental Hygienist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.