Dr. Trent Johnson
Pediatric Dentist
12165 Elm St
Princess Anne
, Maryland 21853-1358
Dr. Trent Johnson
Pediatric Dentist
12165 Elm St
Princess Anne
, Maryland 21853-1358
(410) 749-0654
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Trent Johnson
- Po Box 1978
- Salisbury, MD
- Zip : 21802-1978
- Fax : (410) 749-0654
- Phone : (410) 749-1015
Second Address
- Dr. Trent Johnson
- 12165 Elm St
- Princess Anne, MD
- Zip : 21853-1358
- Fax : (410) 651-4256
- Phone : (410) 651-5151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | LL887 | MD |
National Provider Identifier
| NPI | 1073192951 |
|---|---|
| Provider Name | Dr. Trent Johnson |
| First Address | Salisbury, MD 21802-1978 |
| Second Address | Princess Anne, MD 21853-1358 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/04/2021 |
| Last Update Date | 05/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 119591300 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.