Milton Frederick Johanboeke Jr., D.M.D.

General Practice Dentistry · Madison, IN

Individual Active NPI

NPI number 1497920656

Practice location

1105 Clifty Dr
Madison, IN 47250-1614
Phone
(812) 273-0207
Fax
(812) 273-3366

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NPI record

NPI
1497920656
Entity type
Individual (Type 1)
Enumeration date
April 28, 2008
Last updated
April 28, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12010214A IN

About Dr. Johanboeke

Milton Frederick Johanboeke Jr., D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1105 Clifty Dr, Madison, IN 47250-1614. The NPI number 1497920656 was assigned on April 28, 2008 and the record was last updated on April 28, 2008.

Dr. Johanboeke lists a license in the registry: #12010214A (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Milton Frederick Johanboeke Jr., D.M.D.?

The NPI number is 1497920656.

What is the phone number of Dr. Johanboeke?

The phone number listed for the practice location is (812) 273-0207.

Where is Dr. Johanboeke located?

1105 Clifty Dr, Madison, IN 47250-1614.

What is the taxonomy code for Dr. Johanboeke?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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