JOHN S JOHNSON DDS PA NPI 1487930129

NPI Information

JOHN S JOHNSON, DDS, PA is a pediatric dentistry dentist in Lubbock, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JOHN S JOHNSON, DDS, PA NPI is 1487930129. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As John S Johnson, Dds.

The provider's business location address is:

5102 SALEM AVE
LUBBOCK, TX
ZIP 79414-036
Phone: (806) 687-8080
Fax: (806) 771-6862

The provider's authorized official is John Scott Johnson .
The authorized official title is Owner/president and has the following contact phone number (806) 687-8080.

The enumeration date for this NPI number is 10/26/2011 and was last updated on 10/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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