# JOHNSON DENTAL PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Dental Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104394931
- **Authorized official:** MRS. RICHARD JOHNSON DDS (OWNER)
- **Authorized official phone:** (520) 399-4000

## Contact information

- **Practice address:** 75 W CALLE DE LAS TIENDAS STE 125B, GREEN VALLEY, AZ 85614-4237
- **Practice address phone:** (520) 399-4000
- **Practice address fax:** (520) 399-4003
- **Mailing address:** 75 W CALLE DE LAS TIENDAS STE 125B, GREEN VALLEY, AZ 85614-4237
- **Mailing address phone:** (520) 399-4000
- **Mailing address fax:** (520) 399-4003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2018
- **Last updated:** 11/09/2018