Provider Demographics
NPI:1952499964
Name:JOHNSON & MARSHALL, PC
Entity Type:Organization
Organization Name:JOHNSON & MARSHALL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-349-1000
Mailing Address - Street 1:601 HARGROVE RD E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-3792
Mailing Address - Country:US
Mailing Address - Phone:205-349-1000
Mailing Address - Fax:205-349-1002
Practice Address - Street 1:601 HARGROVE RD E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-3792
Practice Address - Country:US
Practice Address - Phone:205-349-1000
Practice Address - Fax:205-349-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty