DR. JORDAN TYLER JOHNSON DDS NPI 1932723715

NPI Information

DR. Jordan Tyler Johnson, DDS is a student in an organized health care education training program in Clyde, NC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jordan Tyler Johnson, DDS NPI is 1932723715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

59 HAYWOOD PARK DR
CLYDE, NC
ZIP 28721-404
Phone: (828) 627-1999
Fax: (828) 627-1998

The enumeration date for this NPI number is 6/8/2020 and was last updated on 11/15/2022.

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:

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